Typhoid fever
Revision as of 20:33, 26 March 2014 by Rossdonaldson1 (talk | contribs)
Background
Diagnosis
- fvr, ha
- abd pain, constipation, -diarrhea rare
- leukopenia, thrombocytopenia, dry cough, LN
- insidious onset unlike dengue or rickettsia
- dx by blood cx for salmonella enterica serotype typhi
- serology unreliable
Differential Diagnosis
Fever in traveler
- Normal causes of acute fever!
- Malaria
- Dengue
- Leptospirosis
- Typhoid fever
- Typhus
- Viral hemorrhagic fevers
- Chikungunya
- Yellow fever
- Rift valley fever
- Q fever
- Amebiasis
- Zika virus
Treatment
- tx empirically with flouroquinolone or 3rd gen cephal
- vaccine partially effecive and breakthrough infc possible