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Fiebre tifoidea - Symptom

Nombres alternativos

Fiebre entérica

Síntomas:

Los síntomas iniciales incluyen fiebre, indisposición general y dolor abdominal. A medida que empeora la enfermedad, se presenta una fiebre alta (típicamente por encima de 39.5° C/103° F) y diarrea profusa.

Algunas personas con fiebre tifoidea presentan una erupción llamada "manchas rosas", que son pequeños puntos rojos en el abdomen y el tórax.

Otros síntomas que se presentan abarcan:

Sensibilidad abdominal
Agitación
Heces con sangre
Escalofríos
Confusión
Dificultad para fijar la atención (déficit de atención)
Delirio
Fluctuaciones del estado de ánimo
Alucinaciones
Sangrado nasal
Fatiga intensa
Lentitud, inactividad, sensación de letargo
Debilidad

Pruebas y exámenes:

Un conteo sanguíneo completo (CSC) mostrará un alto número de glóbulos blancos en la sangre.

Un hemocultivo durante la primera semana de la fiebre puede mostrar la bacteria Salmonella typhi.

Otros exámenes que pueden ayudar a diagnosticar esta afección son:

Examen de orina ELISA para buscar la bacteria que causa la fiebre tifoidea.
Estudio de anticuerpos fluorescentes para buscar sustancias específicas para la bacteria de la fiebre tifoidea.
Conteo de plaquetas (será bajo).
Coprocultivo.

Organismo Salmonella typhi

Mosca

Órganos del sistema digestivo

Reviewed last on: 6/9/2011
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Giannella Ra. Infectious enteritis and proctocolitis and bacterial food poisoning. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 107.

Lima AAM, Guerrant RL. Inflammatory enteritides. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Elsevier Churchill Livingstone; 2009:chap 97.

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