typhoid fever…

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salmonella typhi organism, fly, digestive system organs, enteric fever, typhoid fever, bacterial infection characterized by diarrhea, systemic disease, a rash, most commonly, bacteria salmonella typhi, s, typhi, spread by contaminated food, drink, water, following ingestion, bacteria spread, the intestine via the bloodstream, intestinal lymph nodes, liver, spleen via the blood where they multiply, salmonella, directly infect the gallbladder, the hepatic duct, spread to other areas, the bloodstream, early symptoms, generalized, fever, malaise, abdominal pain, the disease progresses, fever becomes higher, greater than 103 degrees fahrenheit, diarrhea becomes prominent, weakness, profound fatigue, delirium, an acutely ill appearance develop, a rash, characteristic only of typhoid, "rose spots", appears, cases of typhoid, rose spots, 1/4 inch, red spots that appear most often on the abdomen, chest, children have milder disease, fewer complications than adults, a few people, become carriers of s, typhi, continue to shed the bacteria in feces, spreading the disease, in the case of "typhoid mary" in new york over 100 years ago, typhoid fever is common in developing countries, less than 400 cases, reported, each year, most brought in from abroad, severe headache, fever, loss of appetite, general discomfort, uneasiness, ill feeling, malaise, rash, rose spots, appearing on the lower chest, abdomen, second week, the fever, abdominal tenderness, constipation, diarrhea, bloody stools, sluggish, lethargic, fatigue, weakness, nosebleed, chills, delirium, confusion, agitation, fluctuating mood, difficulty paying attention, attention deficit, hallucinations, an elevated white blood cell count in blood, a blood culture, first week, the fever, s, typhi bacteria, a stool culture, an elisa test on urine, vi antigen specific, the bacteria, a platelet count, decreased platelets, a fluorescent antibody study, demonstrates vi antigen, is specific, typhoid, intravenous fluids, electrolytes given, appropriate antibiotics, given to kill the bacteria, increasing rates of antibiotic resistance throughout the world, choice of antibiotics, a careful one, illness, resolves in 2 to 4 weeks, outcome is likely to be good, early treatment, becomes poor, complications develop, cases in children, milder, more debilitating, in the elderly, relapse, occur treatment has not fully eradicated the infection, intestinal hemorrhage, severe gi bleeding, intestinal perforation, kidney failure, peritonitis, any known exposure to typhoid fever, have been in an endemic area, symptoms of typhoid fever develop, typhoid fever, relapse occurs, severe abdominal pain, decreased urine output, new symptoms develop, vaccines, travel outside, canada, northern europe, australia, new zealand, epidemic outbreaks, immunization is not always completely effective, at-risk travelers should drink only boiled, bottled water, eat well cooked food, experimentation, an oral live attenuated typhoid vaccine is now underway, appears promising, adequate water treatment, waste disposal, protection of food supply from contamination, important public health measures, carriers of typhoid must not be allowed to work, food handlers.