Typhoid Fever: Causes, Symptoms, and How to Prevent It

• Mary mallon who was a cook in new york city was responsible for infecting 49 people of which 3 died.
• She was quarantined thrice and her stool specimens revealed salmonella typhi

Diagnosis:

• The definitive diagnosis of enteric fever requires isolation of salmonella typhi and para typhi from
• Blood (40-80%)
• Bone marrow (50-90%)
• Rose spots
• Stools
• Intestinal secretions
• Other sterile sites.
• Leucopenia and neutropenia(15-25%)

Treatment:

• Prompt administration of antibiotics prevent the complications of enteric fever.
• Uncomplicated enteric fever can be managed with oral antibiotics and antipyretics at home.
• Patients with persistent vomiting, diarrhea and abdominal distension should be hospitalised and given supportive therapy.
• Proper hand washing
• Avoid drinking untreated water
• Avoid raw vegetables
• Choose hot foods
• Proper sewage disposal