Typhoid fever

What is Typhoid fever?

Typhoid fever, also known simply as typhoid, is a symptomatic bacterial infection due to ''Salmonella'' Typhi. Symptoms may vary from mild to severe and usually begin six to thirty days after exposure. Often there is a gradual onset of a high fever over several days. Diarrhea and vomiting are uncommon. Some people develop a skin rash with rose colored spots. Without treatment symptoms may last weeks or months. Other people may carry the bacteria without being affected; however, they are still able to spread the disease to others. Typhoid fever is a type of enteric fever along with paratyphoid fever.

The cause is the bacteria Salmonella Typhi, also known as Salmonella enterica serotype Typhi, growing in the intestines and blood. Those who travel to the developing world are also at risk. Humans are the only animal infected. Diagnosis is by either culturing the bacteria or detecting the bacteria's DNA in the blood, stool, or bone marrow. Typhus is a different disease.

A typhoid vaccine can prevent about 50% to 70% of cases. It is recommended for those at high risk or people travelling to areas where the disease is common. Other efforts to prevent the disease include providing clean drinking water, better sanitation, and better handwashing. Until it has been confirmed that an individual's infection is cleared, the individual should not prepare food for others. Treatment of disease is with antibiotics such as azithromycin, fluoroquinolones or third generation cephalosporins. Resistance to these antibiotics has been developing which has made treatment more difficult.

In 2010 there were 27 million cases reported. The disease is most common in India, and children are most commonly affected. Rates of disease decreased in the developed world in the 1940s as a result of improved sanitation and antibiotics. About 400 cases are reported and the disease is estimated to occur in about 6,000 people per year in the United States. The name typhoid means "resembling typhus" due to the similarity in symptoms.

Questions and answers on "Typhoid fever"

hello doctor my sister in law has typhoid fever and she has shivering cold now....all the fans are switched off she has double blanket on top of her still she is shivering suddenly tonight....how can we get rid off it what are the preventions to avoid shivering while having typhoid

doctor1 MD

Hi
Welcome to HCM
The shivering in typhoid is mainly due to fever so you need to give her tablets along with blankets to get her shivering down. I would be advisible to give Tab p Paracetamol When She starts with fever or shivering

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A few years ago I got the typhoid fever shot because I was going to be traveling to some poorer countries. 1 month after I had the shot, I went on vacation and became violently ill. The doctors told me it was typhoid fever. I was tested, and I responded positively to SALMONELLA O, TYPE Vi POSITIVE A with somatic(O) antigens. My question is, how do I know for sure that I did have Typhoid fever (and that the positive test wasn't the result of my earlier vaccination)? Wasn't my vaccination supposed to prevent the Typhoid? What are the chances someone can get Typhoid even though they were vaccinated? Does this mean I can get typhoid fever again (do I need to be vaccinated again?)

doctor1 MD

Hello,

first of all, the vaccine does not confer 100% protection, so getting sick cannot be excluded.
The diagnosis of typhoid fever is not based on a positive H and O because this test is considered obsolete. And the reason is that a patient may have other pathogens that cross-react and give...

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Pl inform me what diet should be given to an adult suffering from typhoid fever with rigors or shivering during evenings. He has been taking med prescribed by the Dr. for the last 4 weeks but the fever still persists. Thanks a lot for the offer. One of my Doctor friends gave me the necessary advice. Will revert to your site when reqd. in future.

doctor1 MD

Hello,
It looks very strange that patient has been diagnosed with typhoid fever and taking antibiotics for it for past 4weeks without any response.
It means either typhoid is resistant to antibiotics which are being given or the diagnosis of typhoid is wrong.
You must change your doctor and must...

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My father aged 60 is suffering from typhoid fever.He was given antibiotics from doctor.Today is second day,still the fever continues after the intake of medicines(after 4 hrs of taking medicine).Pls let me know whether fever continues after taking medicines.

doctor1 MD

Hi
Typhoid fever will take at least 7 to 14 days to subside even on treatment.
Typhoid fever needs atleast two weeks of treatment.
I will advise your father to continue antibiotics, be positive and take adequate fluids and rest.
If fever continues even after one week of treatment, consult your...

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Should lactating mother stop breast feeding in case she has typhoid fever? 28 years old lady , breast feeding 5 month old baby, mother having typhoid fever.physician advised to continue breast feeding but paediatrician asked to stop it.please advice

doctor1 MD

Hello.
Welcome to HealthcareMagic forum.
During typhoid fever, the antibiotic which you are taking might have an effect on baby.
If your physician says that it is safe for your baby then you can continue with your feed.
Typhoid fever is not transmitted to baby thru breast feed.
Dr. Rakhi...

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1. From the last 4 or 5 years i was had a fever(not typhoid fever )frequently after 4 or 5 months. Now i have had a typhoid fever every year from d last 2 years , not a severe typhoid only 1:120. I have never had any typhoid fever before. plz tell me what should i do to prevent it.my all test reports and chest x-rays r normal.
2. In my test report there is a red blood cells shows mild aniso- cytosis. predominantly normocytic normochromic cells r present.What does this line means and tell me d cause and remedy of d RBC problem.

doctor1 MD

The WIDAL test reports both the flagellar (H) and the somatic (O) antigen titres. Significant titres to diagnose a patient as having typhoid are:

Salmonella typhi H: 1:200
Salmonella typhi O: 1:100

Your titre is 1:120; if this is the O antigen titre then it is not significant.

Typhoid infection...

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hi,i am 35 year old & suffering from typhoid fever from last month. during this period my dr. advise &given 20no. injection of cifakind1000mg after 21 days my typhy S & H have gone in with range & i have stop medicine & take only Vitamineonly. but i have feel 99.2degree forenhite temp. in evening.Please suggest what can ido in this situation.

doctor1 MD

Hello welcome to the health care magic

You are still having fever, so there might be persistence of typhoid infection..

You have been given cefuroxime injections...
Usually ceftriaxone is better drug if want to give iv injection

You might have resistant typhoid bacilli for which levofloxacin or...

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my son jaipal who is 8 yrs old suffered from typhoid fever last 2008, then again, he was having a typhoid fever a week ago, what are the good dietary foods for him for his fast recovery? does he need a vaccination for it? what vaccine is good for him? is it a yearly vaccination or every 3 years?

doctor1 MD

Hi Dear
Welcome to the HCM, Typhoid fever is also called as enteric fever as this disease spread though the contaminated eatables only.
Soft diet is recommended .
Vaccines are available can be given every three yearly basis.
Hope the query is answered.
thanks

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my brother is suffering from typhoid fever please tell me how to get rid of it or please tell me the precautions which i should take for him its from last 15 days. Even he was admitted in hospital for 10 days, Day before yesterday only he got discharged please help me doctor i ll really be thankful for it .......

doctor1 MD

HI
Well come to HCM
As long as the typhoid fever is concern, this can be best bring down with Tab Acetaminophen but this can only be given when body temperature goes beyond 100 F or more, this is not the contagious disease no need to take any precaution, taking care of over all hygiene is the...

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my father is70 5years old. he is a diabetic patient. since one month he has typhoid fever .he has become very thin. i myself am a medical student. getting doubt we did all the blood tests. from endoscopy and ct scan it was confirmed that my father has meatstasis of liver, grade 2. please give treatment. if there is no treatment in modern medicine, atleast im sure we can cure it by ayurveda or homeopathy. please suggest.

doctor1 MD

HI
Thank for asking to HCM
I really appreciate your concern looking to the history given here I could say that if you are a medical student then you should know that treating metastasis is not that much easy it is not like that to treat the fever with antipyretic, if this is metastasis then the...

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Recent questions on  Typhoid fever

doctor1 MD

I have suffered from Typhoid fever last year november i.e 2011.....that was complicated and it took 13 doses of ceftriaxone injection to give me relief and also use enoxabid tablets....and i remain on bed rest for month with all of precautions. Then after recovery, i hv seen tremors in my hand wch disapper automatically...but still feel vibrations below my feet especially evening time.....and pain in both my leg below knee....i thought its weekness but its doesnt look like that bcz i m quite healthy, i hv no history of any nervous disorder not even in my family and today my eyes even look heavy and its like pain....Plz help me out its just anxiety or sumthing else.....I am a medical student 23 years old

doctor1 MD

hi, my husband had typhoid 3 weeks before for which he had taken the complete treatment. but now he has sexual problem like weakening in erection which was never before. Is this due to typhoid? when it was corrected and we gain our normal sexual life?

doctor1 MD

I am 24 years old female.. I was suffering from fever but after a week i went for a widal test.. Salmonella Typhi Ó & H has come 1:40 positive & Salmonella Typhi A (H)& B (H)-Negative.. fever is not der but i m getting headache feeling like sinus.. what best can be done

doctor1 MD

Hi My Nephew had typhoid ,while looking after him my sister did not care about her own health,She s hypertensive & has thyroid ,had ear infection as well.Later even she fell ill and had fever and was under treatment for ear & throat ,she started talking abnormally ,later after ct scan doctor is telling that she has got a hairline clot in brain ,Kindly let me know whether it is curable and whiuch is the best doctor in Bangalore ?

doctor1 MD

I am having joint pain post my typhoid . Still not going down. Have been taking wysolon. Any other medicine

doctor1 MD

Fever from 16 days. got CBC, Typhpoiid and Dengue test done.Got Typhoid Positive. (TYPHI IgG(RAPID ASSAY) - within range(Negative) (TYPHI IgG(RAPID ASSAY) - out of range(Positive) Taken medicine from 11 days.Still fever exists. Today then CBC,...

doctor1 MD

Hi. I have recently diagnosed with typhoid one month back and I took course of antibiotics. I started developing anxiety kind of like unknown fear and disturbed mind during this typhoid. Is it common to have this symptom. 8 years back I had...

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