Typhoid (Enteric Fever)

Dr. Ira Shah
Typhoid (Enteric Fever) - Patient Education
What is typhoid ?
Typhoid is an infection caused by a bacteria called as Salmonella typhi. It leads to fever and is also known as Enteric fever.

How does typhoid spread ?
Typhoid spreads through contamination of food and water and ingesting these contaminated foods.

What are the symptoms of typhoid ?
After intake of food or water contaminated with typhoid bacillus, the germ multiplies in the intestine for 10 to 14 days and then enters the blood leading to infection. Patients usually have fever that rises over 2-3 days. They have toxic look, gaseous distension of abdomen and a coated tongue. In few patients, mild jaundice and swelling over the liver may be present.

What are the complications of typhoid ?
Long standing typhoid fever may involve any organ of the body and cause pneumonia, heart problems, infection in the brain, bones or joints. Sometimes bleeding and infection in the intestines may also occur.

How is the diagnosis of typhoid made ?
Continuous fever may be one of the markers of typhoid fever. Blood culture and other blood tests such as Widal test are useful to make a diagnosis. However Widal test may be falsely negative in early stages of the disease and maybe falsely positive due to previous Typhoid Vaccine or due to fever from other germs.

What is the treatment for typhoid ?
Treatment of typhoid consists of antibiotics, bed rest, low fat diet, anti-fever medicines and proper intake of fluids.

How is typhoid prevented ?
Typhoid can be prevented by typhoid vaccine. Two types of Typhoid Vaccine are available. One is available as capsule that needs to be taken unbroken on alternate days. Total dose: 3 capsules. Other is an injectable vaccine that needs to be given intramuscular as one shot. Both vaccines give protection for 2-3 years following which repeat shot may be required to ensure continued protection. Injectable vaccine can be given after 2 years of age and oral vaccine capsule can be given after 6-8 years of age.
Drinking boiled water with regular washing of raw fruits and vegetables before consumption ensures reasonable good prevention.

Typhoid (Enteric Fever) Typhoid (Enteric Fever) 08/01/2015
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