Typhoid Fever disease or better known

Typhoid Fever disease or better known as Typhoid disease is a disease caused by the bacterium Salmonella enterica, especially derivatives such as the bacteria Salmonella typhi. Typhoid disease attacks the digestive tract that is transmitted or spread through food and beverages that have been contaminated by the bacteria Salmonella. Children and adults can contract the disease typhoid fever. When untreated, typhoid fever can last for three weeks to a month. Death occurs between 10% and 30% of untreated cases

Typhoid Fever Symptoms


Typhoid Fever disease will usually show symptoms such as abdominal pain, nausea, vomiting, high fever (39 ° to 40 ° C), headache and diarrhea which is sometimes mixed with blood, myalgia muscle pain, body weakness, loss appetite, weak heartbeat (bradycardia), and in some cases appear distributing vlek pink ("rose spots")

Typhoid Fever Prevention

Typhoid Fever Prevention can be done by improving hygiene and environmental sanitation and health education. Immunization using oral vaccines and vaccine injections (antigen Vi Polysaccharida capular) has been widely used. Currently, prevention of Salmonella bacteria can be done with named chotipa vaccination (cholera, typhoid, paratyphoid) or TIPA (typhoid-paratyphoid). For children aged 2 years who are still vulnerable, can also be vaccinated.

Clinical Symptoms

Complaints and symptoms of Typhoid fever is not typical, and vary from mild flu-like symptoms until the appearance of severe and fatal illness of many organ systems. The clinical picture of Typhoid Fever disease in the form of prolonged fever, bowel dysfunction, and central nervous system complaints.

Heat is more than 7 days, usually starting with Sumer is increasingly rising, so that at high heat to 2 weeks continuously, especially at night.

Symptoms may include obstipasi gstrointestinal, diarrhea, nausea, vomiting, and bloating, hepatomegaly, splenomegaly and dirty tongue edge hyperemia.

Gejalah central nervous form of delirium, apathy, somnolen, sopor, and even coma.

Treatment of Typhoid Fever patients in the Hospital consists of supportive treatment melipu + ti rest and diet, medical, therapy complications (depending on complications that occur). Rest aims to prevent complications and speed healing. Patients should be absolute bed rest until at least 7 days free of fever or kurag more for 14 days. Mobilization done gradually, in accordance with the recovery of the strength of the patient.

Diet and penunjuang done with the first therapy, the patient is given slurry filtered, then rough and eventually rice porridge in accordance with a cure rate of patients. However, some research indicates that early feeding rate is low rice with side dishes cellulose (abstinence vegetables with coarse fibers) can be given safely. Also needs to be given vitamins and minerals to support the patient's general condition.
In the case of intestinal perforation and septic shock is needed intensive treatment with total parenteral nutrition. Spectrum antibiotics or a combination of several drugs that work synergistically to consider. Corticosteroids should be given in septic shock