Doctor insights on:
Severe Joint Pain After Typhoid Fever
Can anyone have typhoid without any fever? Like other symptoms feeling chill, tiredness, joint pain, headache are present.
Yes, but not: Likely. Your symptoms are more suggestive of a viral infection. If they persist, get to a doctor for proper tests and accurate diagnosis. ...Read more
All travelers to countries where Typhoid is endemic and personal hygiene is poor like hand washing in food handlers and if you have not received the Typhoid Vaccine Than you are at risk for getting infected with Typhoid Fever
To prevent getting Typhoid while travelling to those countries get Vaccine against Typhoid Fever is most important to protect yourself. And don't eat in cheap places ...Read more
In 400 character or: Less, Probably not adequately. Karl Eberth first described the bacillus that was believed to cause typhoid in 1880. Georg Gaffky confirmed it 4 years later. However, the really fascinating story is about Typhoid Mary (Mary Mallon). See: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959940/ ...Read more
TyphoidFever is caused by a bacterium called Salmonela Typhi and is contacted by eating contaminated food that is handled by a person who is passing the bacteria in the feces and does not wash hands properly, And if there is sewage contamination in drinking water
It is more common in countries where hand washing is not practiced and water is likely to be contaminated with sewage
Not common in USA ...Read more
Bacteria: Typhoid is caused by a bacterium called salmonella typhi. It is common in under developed countries where clean potable water and good sewage systems are not available. Most us cases occur in those who have traveled and been exposed to contaminated food or water. Infected people excrete the bacteria in their stools for up to 3 months, so they are contagious until the diarrhea resolves. ...Read more
A single Widal Test is of no use in diagnosis of Typhoid Fever as there can be cross reacting infections like Malaria so there has to be fourfold increase in the titer like1in40to1in160 in the course of infection or conversion from igM raction to igG reaction at least same titer as igM
The best and most reliable test is Blood Culture for Salmonella Typhi ...Read more
Salmonella SOL: Yes: first make sure it's the correct diagnosis using a stool culture on special culture media. Second, see what the antibiotic sensitivities are via that same culture and use one it is sensitive. If it is resistant to all those antibiotics and a special test of newer antibiotics fails then you are, as they say, S.O.L. and will need to be followed closely by an infectious disease specialist. ...Read more
Colplex: Two very different microorganisms with different mechanisms for producing disease. Cholera affects only the mucous lining of the bowel and produces a toxin-mediated watery diarrhea. Salmonella typhi infection begins in the intestinal tract, spreading to the local lymph nodes, to the blood stream, etc. ...Read more
I do have my 4th time typhoid fever for just 1 and half year. What will I do so that I can eliminate the bacteria in my gall bladder? Thank you....
AbicsCholecystectomy: Treatment for 4 to 6 weeks with oral amoxicillin, septra, Cipro (ciprofloxacin) or Norfloxacin has been shown to eradicate the chromic carrier state in 80% of cases due to susceptable strains of salmonella typhi. If biliary stones are present a cholecystectomy combined with antibiotic treatment is required. ...Read more
Since flouroquinolones are contraindicated to pregnant and child suffering from typhoid fever, then what alternative antibiotic should be given?
I have recurring typhoid fever every three to four months. In spite of a combination of spadium and chloramphenicol administered by my physician, this?
Are these drugs celbex,Gen-M containing artemether and ALP safe for me as I breastfeed my child n i m suffering from typhoid fever. He's 3 months old.
The incubation is 1to2 weeks. Symptoms include
High Fever as high as 104 degree
Generalised Aches and Pains
Diarrhea or constipation Abdominal Pain
Chest congestion may develop in many patients
10% of patients have relapse with recurrent symptoms after feeling better for 1to2 weeks.
In some cases patients have rash flat rose color spots ...Read more
It is common only in developing or under developed countries in Asia, Africa and South America. It is rare in USA and other European countries and most cases are in people who have travelled in those countries.
It is due to poor hygiene in contaminated water and food handlers not washing their hands properly and contaminated food ...Read more
Fever and abd pain: Typhoid is caused by a bacterium called salmonella typhi. You get it from contaminated food or water, usually in underdeveloped countries. Symptoms include high fever, fatigue, weakness, sore throat and abdominal pain. Some people get a rash. Children are more likely to get diarrhea than adults. Typhoid is treated with antibiotics and fluids and rest. ...Read more
Febrile test resulted in paraA 1:80 paraB 1:80. Typh o 1:320 typhH 1:320 r.hudlesson 1:160 weill felix 1:80, typhoid fever and what else is wrong?
Lab tests: If these tests were run by a physician then he needs to interprate them for you. Tests are only valuable to the physician when he has the history from the patient fo whom they were done ...Read more
NO Natural Immunity:
No there is no one who is immune to it unless given Typhoid Vaccine which provides temporary immunity in 50to70% of cases and can be given as shot or orally.
Oral Vaccine lasts for 5 years and you need a booster after that. And Injectable vaccine will give you immunity which lasts only for 2 years and you need a booster ...Read more
Unlikely: Persons with typhoid fever usually have a sustained fever as high as 103° to 104° F (39° to 40° C). They may also feel weak, or have stomach pains, headache, or loss of appetite. In some cases, patients have a rash of flat, rose-colored spots (not black). The only way to know for sure if an illness is typhoid fever is to have samples of stool or blood tested for the presence of Salmonella Typhi. ...Read more
Fever and liver:
Typhoid Fever is caused by bacteria called Salmonella Typhi and is a serious infectious Disease and most of the time does not cause Hepatitis
Typhoid Hepatitis is seen rarely in patients infected with Typhoid Fever. And causes Jaundice, liver enlargement and elevated liver enzymes. In areas where Typhoid fever is endemic it may be confused with othere causes of Hepatitis like Hep A or Hep B ...Read more
It can if sensitive:
It can if the bacteria is still sensitive to Amoxicillin. There has been lot of resistance to Amoxicillin for last several years and is not recommended as first line antibiotics.
Cipro and Levaquin (levofloxacin) and Ceftrioxone are first line antibiotics recommended till culture and sensitivity report is available ...Read more
Treatment of Typhoid fever includes Antibiotics like Ampcillin/Amoxicillin and Bactrim and rarely Cipro (ciprofloxacin) or cephalosporin in case of resistant organisms on culture and sensitivity
And supportive care like Bed Rest and Fluids and antipyretics if needed
And those who become chronically ill 3%to5% may need long term anibiotics. And often need Gall Bladder Removal ...Read more