Symptoms of typhoid:-
In the first seven days, the temperature of the individual starts rising and the individual can see fever fluctuations in him along with headache and cough. In some other cases body noise is even likely to be seen along with abdominal pain in the individual. Circulating W.B.C’s start decreasing in number and even the widal test is negative in the first week.
Symptoms of Typhoid Fever and Treatment
In the second week, the patient suffers with a high fever in plateau and a dicrotic pulse wave. Rose spots start appearing on the lower chest of the individual in around thirty percent of the patients. The abdominal gets painful and and decented in the right lower quadrant.
Diarrhea is even likely to occur in the patient at this stage and the person may go for a stool six to eight times a day. His stool becomes somewhat like a pea soup green in color and often with a characteristic smell. Constipation becomes much frequent and the liver of the patient along with the spleen both get enlarged and more tender than before.
The widal test is also positive in this case with antibodies of type antio and antih. Blood culture still stays positive at this stage and fever usually rises up in the afternoon in first fourteen days.
In the third week, the patient suffers a number of complications with his body due to the disease. Bleeding starts in the peyer’s patches and intestinal haemorrage occurs which can be much serious to the individual but not fatal in most of the cases.
If the complication of intestinal proliferation occurs with the patient suffering from typhoid, then it can be much fatal and often serious. This complication occurs without any sort of alarming signs or symptoms until diffuse peritonitis sets in.
The fever at this stage is very high and the person is often distressed and fatigued. This fever oscillates every twenty four hours and dehydration occurs. Thirty three percent of total affected person develop a muscular rash on their trunk in this stage and the number platelets in the blood starts decreasing and bleeding may start to occur any time. In the late stage defervescence with the fever occurs which is carried on to the fourth week if proper medication is not done. So it is advised to be careful while drinking water of any place and to wash hands before eating food in order to be free from typhoid.
when untreated, typhoid fever can persist from three weeks up to a month in order to treat typhoid, a fluoro-quinolone such as ciprofloxacin or in other cases a third-generation cephalosporin such as ceftriaxone or cefotaxime remains the first choice. Cefixime can also be a suitable oral alternative in this direction.
If the fever of typhoid is treated properly, it is not fatal in cases of most of the patients and the antibiotics, such as ampicillin, vchloramphenicol, trimethoprim- sulfamethoxazole, amoxicillin and ciprofloxacin are generally used to treat this type of fever.
Typhoid when treated with anti-biotics reduces the fertility rate to appx. One percent. The person is even likely to die in between ten to thirty percent of the cases if the disease is not treated properly.
in the cases with intestinal perfolation, surgery is usually indicated. If antibiotic treatment fails to eradicate the hepatobiliary carriage, the gallbladder should be resected.