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
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?”
5.
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.
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
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.
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