30/07/2024
TYPHOID
~ Typhoid fever, also called enteric fever, is caused by salmonella bacteria. Typhoid fever is rare in places where few people carry the bacteria. It also is rare where water is treated to kill germs and where human waste disposal is managed.
~ Food and water with the bacteria in it cause typhoid fever. Close contact with a person who is carrying the salmonella bacteria also can cause typhoid fever.
~ Most people who have typhoid fever feel better about a week after they start treatment to kill bacteria, called antibiotics. But without treatment, there is a small chance of death from typhoid fever complications.
~ Vaccines against typhoid fever can provide some protection. But they can't protect against all cases of illness caused by other strains of salmonella. Vaccines can help lower risk of getting typhoid fever.
SYMPTOMS:
~ Symptoms are likely to start slowly, often showing up 1 to 3 weeks after exposure to the bacteria.
~ Early symptoms include:
1) Fever that starts low and increases throughout the day, possibly reaching as high as 40 degrees Celsius
2) Chills.
3) Headache.
4) Weakness and fatigue.
5) Muscle aches.
6) Stomach pain.
7) Diarrhea or constipation.
8)Rash.
9) People also may have a cough, loss of appetite and sweating.
LATER ILLNESS
~ A few weeks after symptoms start, the illness can cause problems in the intestines. People may have:
1) Stomach pain.
2) Very swollen stomach.
3) An infection caused by gut bacteria spreading throughout the body, called sepsis.
~ In very serious cases, people may:
1) Become confused.
2) Not be able to pay attention to anything around them.
3) Not be able to react to the world around them.
~ In some people, symptoms may return up to a few weeks after the fever has gone away.
CAUSES:
~ A bacteria strain called Salmonella enterica serotype typhi causes typhoid fever. Other strains of salmonella bacteria cause a similar disease called paratyphoid fever.
~ People pick up the bacteria most often in places where outbreaks are common. The bacteria passes out of the body in the stool and urine of people who are carrying the bacteria. Without careful hand-washing after going to the bathroom, the bacteria can move from the hands to objects or other people.
~ The bacteria also can spread from a person who carries the bacteria. It can spread on food that isn't cooked, such as raw fruits without a peel. In places where water isn't treated to kill germs, you can pick up the bacteria from that source. This includes drinking water, using ice made from untreated water, or by drinking unpasteurized milk or juice.
TYPHOID CARRIERS:
~ Even after antibiotic treatment, a small number of people who recover from typhoid fever still have the bacteria living in their bodies. These people are known as chronic carriers. They no longer have symptoms of the disease. But they still shed the bacteria in their stools and spread it.
COMPLICATIONS:
1) Damage to the intestines
~ Typhoid fever complications can include damage and bleeding in the intestines. Typhoid fever also can cause cells in the walls of the small intestine or large bowel to die off. This allows the contents of the gut to leak into the body. That can cause severe stomach pain, vomiting and infection throughout the body called sepsis.
~ Damage to the intestines can develop in the later part of the illness. These life-threatening complications require immediate medical care.
Other possible complications include:
1) Inflammation of the heart muscle, called myocarditis.
2) Inflammation of the lining of the heart and valves, called endocarditis.
3) Infection of major blood vessels, called mycotic aneurysm.
4) Pneumonia.
5) Inflammation of the pancreas, called pancreatitis.
6) Kidney or bladder infections.
7) Infection and inflammation of the membranes and fluid surrounding the brain and spinal cord, called meningitis.
8) Psychiatric problems, such as delirium, hallucinations and paranoid psychosis.
For more information and/or treatment, please reach us on 0748922269 or visit our facility located directly opposite Rongo Sub County Hospital.