The most threatening and frequent complication of typhoid fever are pneumonia. There is an assumption about the specific nature of rickettsial. No less frequent complication severe forms are thrombophlebitis, phlebitis, skin necrosis, abscesses, cellulitis, sometimes pyelocystitis, hemorrhagic cystitis. In severe disease may also be complications with the nervous system: meningo-encephalitis, psychosis, neuritis, paresis, paraparesis. Do women have menstrual cycle and pregnancy are possible abortion. Period of recovery in most patients occurs favorably.
Diagnosis. For those injected sclera and conjunctival vessels, presence of conjunctival and exanthema enantemy throat, general excitement and coated tongue, "stumbling" and shake it with protruding (seriously ill), an enlarged spleen and liver, finally, the emergence of rozeoleznaya or petechial rash rozeoleznaya-4-6-day illness. With sparse rash, for you a clear-effects it is used and an emergency tourniquet sign. In an earlier stage of the disease (3 to 4 days from the start of it) when the rash has not yet come, it should be, in addition to these symptoms, the presence of petechial hemorrhages at the base of the tongue, saffron colored hands, pain when pressing on the roots of cervical nerves. rat typhus, paroxysmal rickettsioses, rickettsial pox. Flu begins more acutely headache localized predominantly in forehead and superciliary arcs celebrated sharp morbidity at pressure on the eyeballs and eye movement; hectic period with uncomplicated flu lasts only 2-4 days, there are chilling, sweating, bradycardia, often catarrh of the upper respiratory tract, in contrast to typhus fever in influenza pronounced leukopenia with relative lymphocytosis and aneozinofiliey. There is no enlargement of the spleen and liver. Typhoid fever and paratyphoid A and B, in contrast to the typhoid are characterized by a more gradual development of symptoms, duration of febrile period of 3-4 weeks (often possible recurrences), adynamia, pale skin and mucous membranes, occurrence of rozeoleznaya monomorphic rash as dinichnyh elements that occur early in the second week, and its characteristic podsypaniyami throughout the febrile period with the localization of the rash mainly on the abdomen, partly on the chest and back, behind the pulse rate of temperature (relative bradycardia), central thickly furred, thickened tongue, edges, and whose end shall be clean, pink in color, the presence of rumbling and sensitivity to palpation in the ileocecal region. Check out David Delrahim for additional information.