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[email_address] Typhoid  Fever
HISTORY OF  TYPHOID FEVER.   ,[object Object],[object Object],[email_address]
HISTORY OF  TYPHOID FEVER.   ,[object Object],[object Object],[email_address]
HISTORY OF THE TYPHOID FEVERS   ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
HISTORY OF TYPHOID FEVER.   ,[object Object],[object Object],[object Object],[object Object],[email_address]
HISTORY OF TYPHOID FEVER.   ,[object Object],[object Object],[object Object],[object Object],[email_address]
Introduction  ,[object Object],[object Object],[object Object],[email_address]
BACTERIOLOGY   ,[object Object],[object Object],[object Object],[email_address]
[email_address] Enterobacteriaceae ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Salmonellosis. [email_address] Salmonella infection in man is caused by the enteric fever group which includes : Salmonella typhi.►  Typhoid fever. Salmonella paratyphi A. ► paratyphoid fever Salmonella paratyphi B. ► paratyphoid fever Salmonella paratyphi C. ► has different symptomatology.
[email_address] Sites of Infections with Members of the  Enterobacteriaceae
BACTERIOLOGY   ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
BACTERIOLOGY ,[object Object],[object Object],[object Object],[email_address]
BACTERIOLOGY  Genetic   Similarity of  Salmonella enterica  Serotype Typhi and  Escherichia coli .   [email_address]
[email_address] DNA Relatedness Among Common  Enterobacteriaceae
EPIDEMIOLOGY   ,[object Object],[object Object],[object Object],[email_address]
Source of infection ,[object Object],[object Object],[object Object],[email_address]
Source of infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Chronic salmonellosis and Biharziasis ,[object Object],[object Object],[object Object],[email_address]
Spread of infection. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Spread of infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Paratyphoid c ,[object Object],[object Object],[object Object],[email_address]
[email_address] The global burden of typhoid fever
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[email_address]
pathological changes in typhoid fever.  ,[object Object],[object Object],[object Object],[email_address]
pathological changes in typhoid fever. ,[object Object],[object Object],[object Object],[email_address]
pathological changes in typhoid fever. ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
[email_address]
[email_address]
[email_address]
Findings  NOT  suggestive of typhoid fever: ,[object Object],[object Object],[object Object],[object Object],[email_address]
[email_address]
THE CLASSICAL PICTURE OF TYPHOID FEVER ,[object Object],[object Object],[object Object],[object Object],[email_address]
Main Symptoms.   ,[object Object],[object Object],[object Object],[email_address]
Main Symptoms.   ,[object Object],[object Object],[email_address]
Main Symptoms.   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Signs    General signs.   ,[object Object],[object Object],[email_address]
General signs   ,[object Object],[object Object],[object Object],[email_address]
General signs   ,[object Object],[object Object],[object Object],[email_address]
General signs   ,[object Object],[object Object],[object Object],[object Object],[email_address]
General signs ,[object Object],[object Object],[email_address]
Specific signs. ,[object Object],[object Object],[object Object],[object Object],[email_address]
SIGNS  :  Specific signs. ,[object Object],[object Object],[object Object],[email_address]
Specific signs. ,[object Object],[object Object],[email_address]
Typical Pyrexia in Typhoid [email_address]
Specific signs. ,[object Object],[object Object],[object Object],[email_address]
Specific signs. ,[object Object],[object Object],[object Object],[email_address]
Specific signs. ,[object Object],[object Object],[object Object],[object Object],[email_address]
specific signs. ,[object Object],[object Object],[object Object],[email_address]
Specific signs. ,[object Object],[object Object],[email_address]
Diagnosis  of  Typhoid fever [email_address]
Case definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Case definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Case definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
WARD TESTS AND SIMPLE LABORATORY INVESTIGATIONS [email_address]
[email_address]
[email_address]
[email_address] Bone marrow aspirate culture 75 – 95 % positive rate . Not affected by antibiotic use or duration of illness. Duodenal bile culture by string capsule Sensitivity is comparable to blood culture . Superior to urine or stool culture
[email_address]
[email_address]
DIAZO TEST OF URINE   ,[object Object],[object Object],[object Object],[email_address]
DIAZO TEST OF URINE   ,[object Object],[email_address]
DIAZO TEST OF URINE   ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
DIAZO TEST OF URINE   ,[object Object],[object Object],[object Object],[object Object],[email_address]
DIAZO TEST OF URINE   ,[object Object],[object Object],[object Object],[email_address]
DIAZO TEST OF URINE   [email_address]
D. Shivpuri,H.S. Dayal  Indian Pediatrics 2003; 40:270-271  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Complications  of Typhoid fever [email_address]
GENERAL COMPLICATIONS   ,[object Object],[object Object],[email_address]
GENERAL COMPLICATIONS ,[object Object],[object Object],[object Object],[email_address]
MEDICAL COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
MEDICAL COMPLICATIONS ,[object Object],[object Object],[object Object],[email_address]
Typhoid Pneumonia   ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Typhoid Pneumonia   [email_address]
Typhoid Meningitis   ,[object Object],[email_address]
SURGICAL COMPLICATIONS   [email_address]
The major surgical complications of typhoid fever   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Intestinal perforation: ,[object Object],[object Object],[object Object],[email_address]
Intestinal perforation: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Intestinal hemorrhage ,[object Object],[object Object],[object Object],[object Object],[email_address]
Intestinal hemorrhage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Paralytic Ileus ,[object Object],[object Object],[object Object],[email_address]
[email_address] Lower ileum  in early typhoid  enlarged friable peyers patches Lower ileum 3 rd  week of typhoid Several large  paper thin areas liable to perforation .
Typhoid Arthritis  of Ankle   [email_address]
Typhoid Osteomyelitis of the Femur   [email_address]
Typhoid Spine [email_address]
[email_address]
[email_address]
DIFFERENTIAL DIAGNOSIS ,[object Object],[object Object],[email_address]
DIFFERENTIAL DIAGNOSIS ,[object Object],[object Object],[email_address]
DIFFERENTIAL DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
DIFFERENTIAL DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
DIFFERENTIAL DIAGNOSIS ,[object Object],[email_address]
DIFFERENTIAL DIAGNOSIS ,[object Object],[email_address]
DIFFERENTIAL DIAGNOSIS ,[object Object],[email_address]
DIFFERENTIAL DIAGNOSIS ,[object Object],[object Object],[object Object],[email_address]
DIFFERENTIAL DIAGNOSIS ,[object Object],[object Object],[email_address]
Treatment [email_address]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
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[email_address] thank you د / ربيــع زهــران

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