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Fiebre tifoidea - Treatment

Nombres alternativos

Fiebre entérica

Tratamiento:

Se pueden suministrar líquidos y electrolitos a través de una vena (vía intravenosa) o le pueden solicitar que beba agua no contaminada con paquetes de electrolitos.

Se administran antibióticos apropiados para destruir las bacterias. Hay crecientes tasas de resistencia a los antibióticos en todo el mundo, de manera que el médico verificará las recomendaciones actuales antes de escoger uno.

Pronóstico:

Los síntomas por lo general mejoran en dos a cuatro semanas con tratamiento. El pronóstico probablemente sea bueno con tratamiento oportuno, pero se vuelve desalentador si se presentan complicaciones.

Los síntomas pueden retornar si el tratamiento no ha curado por completo la infección.

Posibles complicaciones:

Hemorragia intestinal (sangrado gastrointestinal severo)
Perforación intestinal
Insuficiencia renal
Peritonitis

Cuándo contactar a un profesional médico:

Consulte con el médico si:

Ha tenido alguna exposición a la fiebre tifoidea.
Ha estado en un área endémica y presenta síntomas de fiebre tifoidea.
Ha tenido fiebre tifoidea y los síntomas reaparecen.
Presenta dolor abdominal fuerte, disminución del gasto urinario u otros síntomas nuevos.

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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