Typhoid is an acute infection with fecal and oral transfer. Intestine lymph nodes are affected, bacteria get into blood. There is an expressed intoxication, the liver and spleen are enlarged; there are eruption and inflammation of small intestine.
Bacteria originators are unpretentious. An infection source is the patient with typhoid or bacteria carrier. The patient discharges bacteria with excrements and urine, they are found in nasopharynx and breast milk. 3-5% of patients who had a disease remain carriers for a long time. Special danger is represented by the people having access to foodstuff.
Bacteria are transmitted through dirty arms, sewage and water, through nutrition and at direct contact. Mass infections are connected to getting of the originator into drinking water. But it is possible to swallow the infected water on the beach.
Temperature rises to 40 °C. The stomach is blown up, constipations are characteristic. there is a pain In the right iliac area, it is necessary to touch carefully, the affected wall of intestine can be torn up.
The bed rest is prescribed to the patient. Because of formation of ulcers in small intestine bleeding is possible. After rupture of intestine the patient has peritonitis. A perforation signal is an abdominal pain. It can have various character: to be insignificant nagging or “dagger-like”.
Intestinal bleeding sometimes is established only on existence of blood in feces and hemoglobin decrease. At massive bleeding temperature suddenly decreases, there is a thirst, pulse becomes frequent, arterial pressure decreases.
At simultaneous perforation and bleeding usually there is no pain syndrome.
Even at suspicion about typhoid the patient is subjected to hospitalization. The diet has to be sparing. It is necessary to avoid stomach muscles tension.