Typhoid clinical symptoms?

summary

Typhoid caused by Salmonella typhi, in typhoid epidemic season and area, patients have persistent high fever (40-41 ℃) for more than 1-2 weeks, and appear special toxic face, relatively slow pulse, skin rosette, hepatosplenomegaly, peripheral blood white blood cell count is low, typhoid clinical symptoms? Let's talk about it

Typhoid clinical symptoms?

During the second to third week of the course of the disease, the typical manifestations of typhoid fever were often accompanied, and complications such as intestinal bleeding and perforation were also more common in this stage. High fever: missed fever is a typical heat type, and a few of them may be flaccid or irregular. High fever usually lasts for about 2 weeks, with a peak of 39-40 ℃, and some of them are over 40 ℃.

Neuropsychiatric symptoms: generally closely related to the severity of the disease, the patient is weak, in a trance, apathetic, dull, slow response, hearing loss, serious cases can appear delirium, coma, also can present virtual meningitis performance, these manifestations are related to severe toxemia, with the decline of body temperature, the condition also gradually reduce and recover.

Hepatosplenomegaly: in this stage, the swollen spleen is often touched with soft texture and mild tenderness. It can also be found that the liver is large, soft texture and tenderness. Hepatosplenomegaly is usually mild, and gradually returns to normal with the recovery of the disease. For example, jaundice, alanine aminotransferase rise and other liver dysfunction can be seen when complicated with obvious toxic hepatitis.

matters needing attention

Strengthen the management of diet, drinking water sanitation and feces, and cut off the route of transmission. The patients and carriers were isolated according to the intestinal infectious diseases until one week after drug withdrawal, and fecal culture was carried out every week until they were negative for two consecutive times. The protective effect of long-standing dead bacteria vaccine is not ideal, and oral attenuated vaccine is in trial. The prevention of this disease should take comprehensive preventive measures focusing on cutting off the transmission route, and adjust measures to local conditions.