Typhoid fever history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
History
Symptoms
Symptoms of typhoid fever include the following:
Most common symptoms
- Stepledder increase in temperature initially and than sustained fever as high as 40°C (104°F)[1]
- profuse sweating
- gastroenteritis
- diarrhea
Less common symptoms
Course of typhoid fever
Typhoid fever symptoms can be divided into four individual stages, each lasting approximately one week.
First week
- Slowly rising temperature with relative bradycardia,
- malaise
- headache
- cough.
- Epistaxis
- abdominal pain
Second week
- Prostration
- High grade fever which plateaus around 40°C
- Bradycardia (Sphygmo-thermic dissociation), classically with a dicrotic pulse wave.
- Delirium or agitation (nervous fever)
- Rose spots on the lower chest and abdomen(1/3 patients).
- Rhonchi in lung bases.
- Painful abdomen(right lower quadrant).
- Diarrhea (six to eight stools/day), green with a characteristic smell, comparable to pea-soup.
- Constipation
Third week
- Intestinal hemorrhage
- Intestinal perforation in distal ileum(Fatal)
- septicaemia or diffuse peritonitis
- Encephalitis
- Metastatic abscesses
- Cholecystitis
- Endocarditis
- Osteitis
- Defervescence
References
- ↑ STUART BM, PULLEN RL (1946). "Typhoid; clinical analysis of 360 cases". Arch Intern Med (Chic). 78 (6): 629–61. PMID 20278487.
- ↑ "CDC Typhoid Fever". Center for Disease Control. 2005-10-25. Retrieved 2007-10-02.