The document discusses the diagnosis and treatment of a 29-year-old man admitted to the hospital with fatigue, anorexia, fever, and difficulty concentrating. The professor questions whether it is cholera or typhoid fever. Key differences between the two diseases are discussed, including that cholera is caused by Vibrio cholerae bacteria releasing a toxin that causes severe watery diarrhea, while typhoid fever is caused by Salmonella typhi bacteria. Symptoms of typhoid fever include sustained high fever, headache, abdominal pain, and diarrhea. Clinical tests that can help diagnose typhoid fever are also outlined, including a blood culture that can detect S. typhi bacteria in the first week, urine and stool tests. The

1. DIAGNOSIS

2. PROFESSOR : DRA. ROSA GONZALES LLONTOP
STUDENTS:
Campos Milyan Leidy
Chavesta Manrique Xinthia
Huamán Cueva Zoila
Racchumí Nima Anita
Ramírez Armas Karina Group N° 6
Velásquez Esspinal José Luis

3. A 29 year-old man was admitted to
the hospital because of fatigue,
anorexia, malaise, fever and
difficulty concentrating, delirious.
He appeared tired and thin, his
temperature was 39 °C, with diffuse
abdominal pain and diarrhea (5
stools for day), some dehydration.

4. “I think that is cholera.. but,
also it can be typhoid fever..”
“Now.. How do I know if it is
cholera or typhoid fever?”

6. Infection of the small intestine
that causes a large amount of
watery diarrhea.
is an
is caused by
This bacteria releases
This bacteria releases
Vibrio aatoxin that causes
toxin that causes
Vibrio increased release of
increased release of
cholerae
cholerae water from cells in the
water from cells in the
intestines, which
intestines, which
produces severe
produces severe
diarrhea.
diarrhea.

7. Symptoms of
THE cholera

10. Typhoid fever
Typhoid fever is
Typhoid fever is
caused by
caused by Bacteria of the genus
Bacteria of the genus
an acute
an acute
infectious disease Salmonella
Salmonella
infectious disease

11. Is caused by consuming
Is caused by consuming
contaminated food or
contaminated food or
drinks.
drinks.
Include:
Milk
Cheese Which grow in
Ice cream locations near
Seafood points of
Vegetables wastewater
Eggs disposal
Water

12. Symptoms of
the typhoid
fever

13. Symptoms
high fever
high fever loss of appetite
loss of appetite
headache
headache weakness
weakness

14. abdominal pain
abdominal pain chills
chills
nosebleed
nosebleed

15. Differential signs and
symptoms of both diseases

16. Typhoid
Typhoid
Cholera
Cholera
Fever
Fever
Tachycardia Bradycardia

17. Cholera
Cholera TyphoidFever
Typhoid Fever
From 30 to 40 From 6 to 8 stools
stools for day. for day.

18. Cholera
Cholera TyphoidFever
Typhoid Fever
Mild fever or no
Fever up to 40 ° C.
fever.

19. Typhoid
Typhoid
Cholera
Cholera
Fever
Fever
Fever conscious
state. Delirious with fever.

20. Cholera
Cholera TyphoidFever
Typhoid Fever
Severe dehydration Moderate
dehydration.

21. “Now, I know that my patient
have typhoid fever”
“But, I need clinical tests
to do my diagnosis”

22. MICROBIOLOGICAL
DIAGNOSIS

23. A complete blood
count (CBC).
Show a high number of
white cells in the blood.

24. A blood culture
During the first week of the fever
can show S. typhi bacteria.

25. Urine test ELISA.
To look for the bacteria that
causes typhoid fever.

26. Platelet count (be low).
coproculture
.
The germ is eliminated in the dregs .
Positivity is very high within 2-4
weeks, staying positive chronic
carriers.

27. Serology Widal
technique
Demonstrates the presence of
agglutinating antibodies (agglutinins)
against H antigens (flagellar) or O
(somatic) of Salmonella typhi.

28. “I confirmed my diagnosis”
“Finally, give the treatment”

29. TREATMENT
A person will usually
antibiotics recover in 2-3 days
with prompt
antibiotic treatment
Ciprofloxacin Ceftriaxone
(Cipro) (Rocephin
If you are being treated for typhoid fever, it is important to
If you are being treated for typhoid fever, it is important to
do the following:
do the following:
Wash your hands carefully with soap
and water after using the bathroom
Eating a healthy diet.
Drinking fluids

30. Thank
s a lot
!!!!