3. Signs and Symptoms
headache Nausea, vomiting, diarrhea
Chilly sensation
Coma vigil fever
sordes
Subsultus tendinum
Rose Patches*
Ladder-Like Fever
Megaly
4. Pathophysiology
PREDISPOSING FACTORS: PRECIPITATING FACTORS:
age Improper food handling
Contamination
Poor hygiene
Overcrowded areas
Ingestionof food or water
contaminated with
Salmonella typhi
Bacteria adheres/
invades GIT Enters distal ileum (Peyer
Patches)
5. Induces host macrophage
to attract more
macrophages
Enters ducts then diff.
Organs (liver, spleen, bone
marrow, lymph nodes) Megaly
Ladder-
like Continuous to multiply
fever (1 000 000)
6. Induces apoptosis of
macrophages, leaking to
blood stream and to the
entire body
TYPHOID FEVER
The bacteria that remained
The bacteria that doesn’t present in the system of host
reinfect the host is shed pauses and continuous to
into the stool multiply making the host a
carrier
7. Complications:
hemorrhage
perforation
typhoid spine or
neuritis
early heart failure
septicemia
Reiter’s syndrome
9. NURSING MANAGEMENT:
Maintain or restore fluid and electrolyte
imbalance.
Monitor patient’s v/s.
Prevent from further injury.
Good hygiene and mouth care.
Cooling measures during febrile state.
WOF intestinal bleeding.
10. PREVENTION AND CONTROL:
Sanitary and proper disposal.
Proper supervision of food handlers.
Enteric Isolation.
Adequate protection and provision of safe
drinking water supply.
Reporting of case to health authorities.
