Innards fever taken from her intestines which is endemic in Egypt and numbers abound in the summer for the spread of flies and sources of infection are patients and microbe holders, and infections transmitted through food or drink contaminated with the Salmonella organism.
The disease produces a result of salmonella bacteria infections which is one of the types of intestinal Baktricia a
Include about 1900 type only four of them affecting humans, a Salmonella typhoid and Albaratifued (a) and (b) and (c) and cause Salmonella typhoid about three-quarters of fever cases innards in Egypt while causing Salmonella Albaratifued (a) and (b) and (c ) the remaining quarter of the cases and is considered Salmonella Albaratifued more Albaratifued types prevalent in Egypt. microbe salmonella microbe is organic Gram-negative and moves by the presence of cilia
When intestinal fever body consists of antibodies to salmonella microbe There are three types of these antibodies :
- Antibody (f) It is common in all species.
- Antibody (e) is distinctive for each type separately.
- Antibody (AVI), a distinctive degree of severity of the microbe.
The estimated degree of these antibodies choosing Agaydal.
After entering the microbe salmonella human body through the mouth up microbe to the lymph and gatherings lymph occurs a proliferation of reticulocyte and after a period of up microbe into the blood and then to all parts of the body causing changes pathological in most parts of the body, but fundamental changes occur in the small intestine, especially in communities nodes in intestine known as Sully Bayer may occur rarely in the large intestine in clusters nodes known as individual nodes and observed swelling first in tarnished Bayer and contract Alferdihaakbh of necrosis resulting Therh bowel The importance of this ulcers typhoid in the intestine to be multiples of intestinal bleeding or peritonitis and one or both has Eodaan lives intestinal fever patient .
The enlarged spleen or liver, or both congestion may occur in the heart and kidneys. There are three pictures for clinical Innards fever in Egypt: - acute intestinal influenza Salmonella.
- Acute typhoid fever. - Chronic typhoid fever which are of two types: - chronic typhoid fever multiplexed urinary schistosomiasis.
- Chronic typhoid fever straight double bilharziasis.
A - acute enteric fever Salmonella:
Incubation period of the disease from a few hours to 72 hours after ingestion of food or drink contaminated with Salmonella,
The main symptoms of high fever and nausea, abdominal disorder with recurrent bouts of diarrhea can lead to dehydration and drop in blood circulation and usually cure the patient after a few days. The disease is diagnosed through blood work farms and feces for Salmonella and often shows a picture of blood and an increase in the total white blood cells .
B - acute typhoid fever: the incubation period of the disease from 10 - 15 days and the main symptoms of the disease:
- Gradual rise in temperature is noted that the temperature higher than the morning evening .
- A potential headache in the forehead.
- Loss of appetite for eating and a penchant for vomiting and abdominal disorder The patient complains of diarrhea or constipation, but most cases be a natural defecation .
- Dry cough in about half the cases.
- Give false pain in about one-third of cases.
- Epistaxis any bleeding from the nose simple rare, about 5% of cases. The most important signs of illness :
- Outlook Altzmmip patient and seem obvious in the face of the patient as a result of the impact of salmonella on the body.
- A white membrane on the surface of the tongue.
- Congestion in Zor at around 20% of cases.
- Popular signs of influenza in about one-third of cases.
- The presence of abdominal swelling and flatulence has no clap and pain in the lower right front of the abdomen.
- And a rash on the body points and rosy in the grain size of lentils in the abdomen and chest, a rare at present.
- It is common when a large number of people that fever Albaratifued lighter from typhoid fever but the reality that this is not true, there fever cases Tyvodah mild fever cases Baratyvodah severe's clinical Tyvod and Albaratifued substantially similar and can not differentiate between them but farms blood.And typhoid fever is diagnosed based on the following:
- The clinical picture of the disease by Specialist Fever.
- Farm work from the patient's blood for microbe Slamonala and considers farm blood surest way to diagnose the disease because they show the same microbe.
- Work image of the patient's blood, which show a decrease in the total white blood cells and an increase in lymphocytes and the disappearance of cells Alazinowal.
- Test Tlzen Alvedal which gives an indication of the presence of antibodies to Salmonella and since there are two types of immunity in typhoid fever: type in the blood, appears in the test Tlzen Alvedal and another type within the cells of the body and does not appear in the test Alvedal the test Alvedal is not the only indicator for the presence of antibodies to Salmonella.
- Research has shown that took place in Egypt that a small percentage of healthy people have found test Tlzen Alvedal positive as a result of eating small amounts of salmonella in food traded between street vendors, leading to the presence of antibodies to Salmonella without the presence of symptoms of the disease.
- The result should be evaluated Tlzen Alvedal by dietitian so the patient does not deal drugs without a definite need. - Test diazo in urine to detect clinical for typhoid fever: placed 5 cm from the concentrated solution of acid Asalafaneljk in 5% diluted solution of hydrochloric acid to 5 cm of Paul the patient in a test tube and in addition to one or two points from a dilute solution half percent of nitrite of soda and then clog the tube and shake until the foam occurs at the top of the tube and then put a little bit of ammonia solution powers on the wall of the tube, a slanted test is considered positive if the pink foam and urine test Annabi and be negative if the pale yellow foam and dark urine orange. The main complications of typhoid fever:
A - gastrointestinal bleeding:
It occurs in about 1% of cases at the present time as a result of ulcers intestine and usually occurs from the last week the second to last week fourth may occur bleeding once or at times sporadic shows blood in stool bleak like the color of asphalt may be bleeding a little and symptoms simple may be bleeding a lot accompanied by large pallor and low temperature, blood pressure and a sharp decline in circulation and sweat .
B - peritoneal inflammation:
Result intestinal perforation and occurs in about 1% of cases at present and usually occurs from the last week the second to last of the fourth week and usually patient complains of severe pain suddenly over the place perforation Altyvody and when examining the patient no pain when pressed on where perforation with stiffness in the abdominal wall and after A few hours show symptoms of peritoneal inflammation with severe swelling in the abdomen and stiffness in the abdominal wall with a very high temperature and increasing the speed of the pulse of the patient and on suspicion of peritonitis patient must be displayed on the Specialist surgery immediately .
C - setback:
Are the return of the disease with the same type of salmonella which has already grown from the original blood disease at least three days after the patient recovers .
He spoke setback after a period ranging from 5 - 80 days and the average 15 days after the patient recovers and setbacks typhoid fever in about 10% of cases and its clinical image can be either similar or worse than the original disease.
To avoid setback treatment should be taken under the supervision of the dietician for a sufficient period with full comfort for the disease and during convalescence .
D - inflammation of the heart muscles and drop in circulation:
Often occurs in severe cases due to the impact salmonella toxins and symptoms appear in the form of changes in EKG or drop in circulation .
E - Holders of the microbe:
Are the people who no microbe salmonella in urine or feces or both without complaining of any symptoms and most important type they Holders microbe Chronics whom there have microbe salmonella after twelve months of the disease as they consider Barat for the spread of disease, especially if they dealt in food distribution.
And treatment of typhoid fever: a drug chloramphenicol, ampicillin, or triglyceride trimethoprim Slwamythoxasol as recommended by dietician.
Have emerged in the past few years, some types of Salmonella is sensitive to the previous three properties but are sensitive to quinolone drug and real estate Sifteraickson that should be abused under the supervision of dietician.
For the prevention of disease:
Given person taste (T AP) Half cubic centimeter under the skin and repeated after one week cubic centimeter under the skin and contains every cubic centimeter of bait on a thousand million microbe Tyvod and 750 million microbe Baratyvod a 750 million microbe Baratyvod b dead heat and the most appropriate time for vaccination before summer .
And personal hygiene and boiling milk and washing raw vegetables and avoid eating food from shops is available where sanitary conditions are important factors for disease prevention .
C - chronic typhoid fever:
Endemic schistosomiasis in seventy-four developing countries and there are about 200 million patients with schistosomiasis in the world and also there is about 600 million people at risk of schistosomiasis, especially those who are engaged in daily associated with water such as farming, washing, bathing and fishing as schistosomiasis and fresh water can not be separated from each other.
And infect schistosomiasis millions of rural Egypt and the size of the problem schistosomiasis advertised much lower than the reality as the symptoms of the disease in its early stages simple and unobtrusive for patients to show complications of the disease, which affects almost all parts of the body including the urinary tract and intestinal tract and regular psychological and nervous and skin and reproductive and endocrine .
There are two types of schistosomiasis in Egypt:
A - urinary schistosomiasis:
Which mainly affect urinary tract and patient complains of a burning sensation in urine and an increase in the number of urination, blood red Gan at the end of urination and vary complications urinary schistosomiasis of cystitis and narrow and cirrhosis ureters and stones ureters, bladder and kidney infections kidney and chronic renal failure to bladder cancer.
B - intestinal schistosomiasis:
Which mainly affect the digestive system and patient complains of Dosentaraa acute or chronic or bleeding from the anus and vary complications intestinal schistosomiasis of bleeding from esophageal varices may kill the patient, and ascites abdominal makes the patient is unable to work and drop in liver function may lead to liver failure to cancer of the liver and spleen.
And when a patient is infected schistosomiasis, typhoid fever, typhoid fever may take a chronic form, there are two types of chronic typhoid fever.
A - chronic typhoid fever multiplexed urinary schistosomiasis .
B - chronic typhoid fever multiplexed intestinal schistosomiasis .
First:
Typhoid fever chronic multiplexed schistosomiasis and urinary similarity symptoms of this disease symptoms inflammation of the urethra and patient complains often of high temperature evening while the normal temperature often in the morning and jerk and the pain of the body and burning during urination and disorder abdominal and the most important signs of the disease and there is inflation the liver and spleen, and repeated occurrence bouts of high temperature, each of which takes several days and usually deals with the patient in which different types of antibiotics and ranges extended temperature rise of 1 - 24 months .
And typhoid fever is diagnosed through blood and urine farms during high temperature, which is usually Salmonella Albaratifued a 4 times Tdr Salmonella typhoid .
The test is often Tlzen positive Alvedal in only about one third of cases while the white kidney blood count in the natural boundaries Or natural increase.
Schistosomiasis is diagnosed by examining urine for urinary schistosomiasis eggs and through the work of rays on the urinary tract.
To ensure the patient's recovery should start treating typhoid fever and treat urinary schistosomiasis to ensure the non-recurrence of typhoid fever as a result of the presence of foci Albulharrisah urethra.
Secondly:
Typhoid fever chronic multiplexed schistosomiasis and intestinal similarity symptoms of this disease symptoms kala-azar caused by Leishmania and often a patient complains of fever, chills, headache, bleeding from the nose, cough, loss of appetite, nausea or vomiting, abdominal pain and diarrhea and Dosentaraa and the most important signs of the disease and a temperature continuous or hesitant Toxic outlook and bleeding under the skin and yellowing of the eyes and enlarged lymph nodes and viral pneumonia, abdominal pain and edema in the liver, spleen and duration of the disease varies from 1 - 24 months .
And typhoid fever is diagnosed through blood cultures during high temperature, which usually appear Salmonella typhoid 3 times as much as the Salmonella Albaratifued a .
The test is often Tlzen positive Alvedal in only about half of the cases while the white kidney blood count in the natural limits of normal or increased.
Schistosomiasis is diagnosed by examining stool for ova schistosomiasis and intestinal biopsy of the rectal membrane eggs of intestinal schistosomiasis. To ensure the patient's recovery should start treating typhoid fever and intestinal schistosomiasis.
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Fever