Abdominal typhus (typhoid fever, enteric fever) is an acute infectious disease of the gastrointestinal tract bias of the symptoms of fever for more than a week, gastrointestinal disorders and disorders of consciousness.
Aetiology
Salmonella typhi, gram-negative bacilli, moving with her hair, not berspra. Have at least 3 kinds of antigen O antigen (somatic), H antigen (flagella) and Vi antigen.
Pathogenesis
from bacteria enter the gastrointestinal tract, required number of serratus thousand to one billion in order to cause infection. Used by most of the bacteria killed by stomach acid. The bacteria that remain alive will go into the ileum through the microvilli and achieve plaque, then enter the blood vessels (bacteremia). In the next stage, s.typoii to retikoendotial organ system
Clinical symptoms
Early shoots 7-14 (average 3-30) days. During the incubation period may be found in the prodromal symptoms of feeling unwell, tired, headache, dizziness, and no spirit.
In the typical case of common clinical symptoms include fever, gastrointestinal disorders, and disorders of consciousness.
Complications
In typhoid fever can occur abdo0minalis complications of intestinal bleeding, intestinal perforation, peritonitis, miningitis, kolesitis, encephalopathy, bronchopneumonia, hepatis, dehydration, acidosis.
Working diagnosis
From the anamnesis and physical examination can be made the diagnosis, observation of abdominal typhoid.
To ensure diagnostic laboratory tests to be done as follows:
Useful examination to support the diagnosis
Tags: Abdominal typhus, Abdominal typhus diagnosis, Aetiology, Clinical symptoms, Complications, microvilli, retikoendotial, typhus diagnosis, Working diagnosis
