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Typhoid and Paratyphoid ( enteric) fever

Caused by infection with salmonella typhi and Salmonella paratyphi.

Transmitted by the faecal-oral route.

Incubation period is 10-14 days

Clinical features of typhoid fever - - -

In 1st week
1. Fever
2. Headache
3. Mylagia
4. Relative bradycardia
5. Constipation
6. Diarrhoea and vomiting in children

Ends of 1st week
1. Rose spots on trunk
2. Abdominal distension
3. Spleenomegaly
4. Diarrhoea
5. Cough

Ends of 2nd week
1. Delirium, complications, then coma and death ( if untreated)

Treatment - consult your doctor

Prevention - improved sanitation and living condition reduce the incidence of typhoid.