5. is a general infection caused by
Salmonella Typhi involving primarily
the lymphoid tissues (Peyers Patches)
of the small intestine.
is a bacterial infection transmitted by
contaminated water, milk shellfish or
other foods
6. Salmonella Typhosa or Salmonella Typhi
Fecal Oral route
Rose Spot on the Abdomen
10-20 days
7. – as long as the bacteria are
excreted therefore another
important source of infection is
the stool of the patient
8. 1. PRODROMAL OR GRADUAL ONSET/
INITIAL STAGE
Fever, Abdominal pain, diarrhea
Irregularly spaced small rose spot
on the abdomen, chest, trunk, and
back
9. 2. FASTIGIAL STAGE
1. Ladderliked fever or stairway fever
2. Rose pot
3. Splenomegaly enlargement of the spleen
10. 2. FASTIGIAL STAGE
Abdominal symptoms may become
marked abdominal distention
(tympanites)
Teeth and lips accumulate a dirty brown
collection of dried mucus and bacteria
known as (typhoid state)
11. Restless alteration in the level of
consciousness
Carphologia
– involuntary picking of linens
Subsultus Tendinum
– involuntary twitching of the
tendon of the wrist
12. WIDAL TEST
– agglutination test for typhoid fever
3 ANTIGEN USE
– positive active typhoid state or
acute infection
exposed before to typhoid fever
Immunized with cholera typhoid
– are found among carriers
13. 3. STAGE OF DEFERVESCENCE
Circulation
PEYERS PATCHES
INFLAMMATION
Slough or falls off
MEMBRANE
MELENA
14. HEMATOCHEZIA
– fresh blood in the stool
–inflammation of the lining tissue
of the abdominal cavity
17. 1. Symptomatic
2. GI Bleeding (NPO) Blood Transfusion
may be given to patient
3. Avoid spicy food cause irritation of
gastric mucosa and aggravate the
bleeding of the pt.
4. Encourage increase fluid intake the
patient may become dehydrated due
to water loss vomiting diarrhea and
poor oral intake.
5. Give a high calorie low residue diet
during febrile stage
18. Immunization ( Cholera Typhoid )
Avoid the 5 Fs
Proper disposal of feces
Avoid breeding places of flies
Proper preparation cooking storage of
food
Proper handwashing
Cut finger nails
