Hy 2575 Retractable fever...

[tommyk]

Hy 2575
Now, an adult male age 50 develops insidious onset of a severe infectious disease. The condition is characterized initially by high fever, headache, pharyngitis, and arthralgias. The patient then goes on to develop intestinal complaints of constipation, anorexia, and abdominal pain and tenderness. During the second week of the illness, he has a rash with discrete pink, blanching lesions (rose spots) on the chest and abdomen. The rash resolves about three days later. By the third week of the disease, the patient appears very ill and has developed a florid diarrhea that is positive for occult blood. During this same period, the man also develops secondary pneumococcal pneumonia. At the height of the patient's illness, he was stuporous and had short periods of delirium. The spleen was palpable during this period. Blood studies demonstrate leukopenia, anemia, liver function abnormalities, and a mild consumption coagulopathy. He has a recent history of travel. Dx.,please?
1-Abdominal abscess
2-Amebiasis
3-Brucellosis
4-Dengue Fever
5-Influenza
6-Leishmaniasis
7-Malaria
8-Typhoid Fever
9-Toxoplasmosis
10-Tuberculosis
11-Tularemia
12-Cholera
13-Bubonic Plague















































































a) #8. Typhoid fever is a severe multisystemic illness characterized by the classic prolonged fever, sustained bacteremia without endothelial or endocardial involvement, and bacterial invasion of and multiplication within the mononuclear phagocytic cells of the liver, spleen, lymph nodes, and Peyer patches. Typhoid fever is potentially fatal if untreated. People are typically infected with S typhi and S paratyphi through food and beverages contaminated by a chronic stool carrier. Less commonly, carriers may shed the bacteria in urine. Individuals may also be infected by drinking sewage-contaminated water or by eating contaminated shellfish or faultily canned meat. Salmonella is a genus in the family Enterobacteriaceae that has more than 2300 serotypes previously described in the Kauffman-White schema. Salmonellae are gram-negative, flagellate, nonsporulating, facultative anaerobic bacilli that ferment glucose, reduce nitrate to nitrite, and synthesize peritrichous flagella when motile. All but S typhi produce gas upon sugar fermentation. The classic signs of enteric fever include fever, toxemia, delirium, abdominal pain, constipation, and hepatosplenomegaly.

[st_55]

thanks for the question