What is step ladder fever?

[15] Classic typhoid fever starts about one week after the ingestion of the organism. Fever follows a “step-ladder” pattern (i.e., fever rises one day, falls the subsequent morning, and continues to form peaks and troughs with insidious onset). Abdominal distress is frequently seen in typhoid fever.
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How many days does typhoid fever last?

With treatment, the symptoms of typhoid fever should quickly improve within 3 to 5 days. If typhoid fever isn't treated, it'll usually get worse over the course of a few weeks, and there's a significant risk of life-threatening complications developing.
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What are symptoms of typhoid in adults?

Signs and symptoms include:
  • Fever that starts low and increases daily, possibly reaching as high as 104.9 F (40.5 C)
  • Headache.
  • Weakness and fatigue.
  • Muscle aches.
  • Sweating.
  • Dry cough.
  • Loss of appetite and weight loss.
  • Stomach pain.
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What is the difference between typhoid fever and enteric fever?

Enteric fever is a systemic illness characterized by fever, abdominal pain, and non-specific symptoms including nausea, vomiting, headache, and anorexia. When enteric fever is caused by Salmonella enterica serovar Typhi, it is known as typhoid fever and when due to S.
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What tests confirm typhoid fever?

Current diagnosis for typhoid is still via the method of culture and antibody detection by means of the Widal test. Isolation of Salmonella typhi has remained as the gold standard, with culture the bone marrow aspirate or a combination of specimens from blood, stool or urine.
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Typhoid fever



What antibiotics treat typhoid fever?

Antibiotic therapy is the only effective treatment for typhoid fever.
...
Commonly prescribed antibiotics include:
  • Ciprofloxacin (Cipro). ...
  • Azithromycin (Zithromax). ...
  • Ceftriaxone.
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What is the highest level of typhoid?

People usually have a sustained fever (one that doesn't come and go) that can be as high as 103–104°F (39–40°C). Some people with typhoid fever or paratyphoid fever develop a rash of flat, rose-colored spots.
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Which organ is affected by typhoid?

The gastrointestinal tract is more severely affected including liver, spleen, and muscles. Through bloodstream, bacteria can also reach gallbladder, lungs, and kidneys.
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What are the two types of typhoid?

The Gram-negative bacterium that causes typhoid fever is Salmonella enterica subsp. enterica serovar Typhi. Based on MLST subtyping scheme, the two main sequence types of the S. Typhi are ST1 and ST2, which are widespread globally.
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Is typhoid and pneumonia same?

One of the most responsible cause of Pneumonia is calledStreptococcus Pneumoniae, it is bacterial pneumonia. Typhoid fever is a bacterial infection that can spread throughout the body affecting many organs. Without prompt treatment it can cause serious complications and can be fatal [3].
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Can typhoid cure itself?

Without treatment, typhoid fever may last a month or more and become very serious, even life-threatening. In most cases, the symptoms start to go away in the third and fourth weeks, as long as the disease doesn't cause any other health problems. Sometimes, after the illness seems gone it can come back.
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What foods cause typhoid fever?

eating seafood from a water source contaminated by infected poo or pee. eating raw vegetables that have been fertilised with human waste. contaminated milk products. having oral or anal sex with a person who's a carrier of Salmonella typhi bacteria.
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What happens if typhoid goes untreated?

If it isn't treated properly, it may result in death. The most common symptom of peritonitis is sudden abdominal pain that gets progressively worse. If you have peritonitis, you'll be admitted to hospital, where you'll be treated with antibiotic injections.
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Which fruit is good for typhoid?

It's also important to stay hydrated and drink plenty of water. Here are some foods to enjoy on the typhoid diet: Cooked vegetables: potatoes, carrots, green beans, beets, squash. Fruits: ripe bananas, melons, applesauce, canned fruit.
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What food should be avoided in typhoid?

Avoid raw, unpeeled fruits and vegetables that may have been washed with contaminated water, especially lettuce and fruits like berries that can't be peeled. Bananas, avocados, and oranges make better choices, but be sure you peel them yourself.
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Can we drink milk in typhoid?

Typhoid patients can consume milk. However, it is necessary to properly boil the milk before consumption to reduce the chances of bacterial attack.
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Can amoxicillin treat typhoid?

Orally administered amoxicillin was as effective as iv ampicillin in curing typhoid fever caused by chloramphenicol-resistant S. typhi.
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Why does typhoid fever increase at night?

But probably the main reason fever seems worse at night is because it actually is worse. The inflammatory response mechanism of the immune system is amplified. Your immune system deliberately raises your body temperature as part of its strategy to kill the virus attacking you.
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Does typhoid spread by kissing?

Hugs and kisses don't spread typhoid, and people shouldn't avoid church because they're worried about catching the disease. That's the message from the Auckland Regional Public Health Service following the city's typhoid outbreak.
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What Age Can typhoid be given?

It may be given to people 2 years and older. One dose is recommended at least 2 weeks before travel. Repeated doses are recommended every 2 years for people who remain at risk. Live typhoid vaccine is administered orally (by mouth).
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How long do you take antibiotics for typhoid?

Typhoid fever requires prompt treatment with antibiotics. If typhoid fever is diagnosed early, the infection is likely to be mild and can usually be treated at home with a 7- to 14-day course of antibiotic tablets.
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What is O and H in Widal test?

Salmonella Infections

The traditional Widal test measures antibodies against flagellar (H) and somatic (O) antigens of the causative organism. In acute infection, O antibody appears first, rising progressively, later falling and often disappearing within a few months.
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What is the first line treatment of typhoid fever?

Based on our findings, ceftriaxone and cefixime seemed to be the first line of antibiotic treatment for typhoid fever.
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Can we eat chicken during typhoid?

A typhoid patient can consume very light tea/coffee in moderation. We should avoid foods that are difficult to digest as typhoid can make your intestines weak. All non vegetarian food items like chicken and meat should be avoid during this time as it can have an affect on the intestines.
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