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Typhoid Fever – Symptoms and Causes of Typhoid Fever

The typhoid fever is commonly known as ‘typhoid’ by common man. Typhoid fever can be seen on a worldwide basis. while ingesting food or water contaminated with the fecal matter from an infected person, the disease is transmitted. The bacterium, Salmonella Typhi is the causative organism which grows at the normal body temperature in humans(37°C or 99 °F).

Other names of Typhoid fever are abdominal typhus, gastric fever, infantile remittent fever, nervous fever, pythogenic fever, slow fever etc. The name ‘typhoid’ was given in the year 1829 by Pierre Louis, a French physician. He coined the term as a derivative of the word typhus.

Symptoms of Typhoid Fever
There are several symptoms found in the patient with Typhoid fever. The common symptoms seen in the incubation period are –

  • poor appetite
  • headaches
  • generalized pains and aches
  • fever
  • lethargy
  • diarrhea

The prime characterization symptoms of typhoid fever includes –

  • slow progression of fever (as high as 104 °F or 40 °C)
  • gastroenteritis
  • profuse sweating
  • nonbloody diarrhea
  • rare occurrence of rashes (which look like flat spots which are rose-colored)

Untreated typhoid is categorized into 4 stages. Each stage has been found lasting for more than a week. Symptoms occurring in the first stage are –

  • slow rise in temperature
  • relative occurrence of bradycardia (resting of rate of heart under 60 beats or less per minute)
  • malaise (feeling of uneasiness or general discomfort)
  • headache
  • cough
  • epistaxis (appearance of bloody nose) in few
  • abdominal pain
  • leukopenia (decrease in the WBC count)
  • eosinopenia (decrease in the eosinophils)
  • lymphocytosis (increase in the number of lymphocytes)

The following symptoms are found in the second week –

  • high fever
  • bradycardia with a dicrotic pulse wave
  • frequent delirium (sudden state of severe confusion gives the disease a new name, Nervous fever)
  • frequently calm but agitated at times
  • appearance of rose colored spots on abdomen and lower chest
  • painful and distended abdomen
  • hearing rhonchi in lungs
  • diarrhea may occur for about 6-8 times of stools in a day
  • stool may appear greenish with a characteristic smell
  • increase in the frequency of constipation
  • enlarged and tender liver and spleen
  • rise in the level of liver transaminases
  • rise in the the fever in the afternoon

The following symptoms are commonly observed in the third week of the onset of typhoid fever :

  • Bleeding can cause intestinal hemorrhage but this is not fatal but can be very serious
  • Occurrence of intestinal perforation in the distal ileum can be fatal. It leads to alarming signs like septicaemia or diffuse peritonitis.
  • Encephalitis
  • Metastatic abscesses
  • Cholecystitis
  • Endocarditis
  • Osteitis

1 response to Typhoid Fever – Symptoms and Causes of Typhoid Fever

  1. what is the main cause by which the leucocyte decrease in typhoid fever .

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