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Without treatment, symptoms may last weeks or months. [5] Diarrhea may be severe, but is uncommon. [7] Other people may carry it without being affected, but are still contagious. [8] Typhoid fever is a type of enteric fever, along with paratyphoid fever. [2] Salmonella enterica Typhi is believed to infect and replicate only within humans. [9]
Hyperthermia requires treatment. [2] Fever is one of the most common medical signs. [2] It is part of about 30% of healthcare visits by children [2] and occurs in up to 75% of adults who are seriously sick. [11] While fever evolved as a defense mechanism, treating a fever does not appear to improve or worsen outcomes.
Early symptoms may vary from mild to severe. [ 3 ] [ 4 ] Usually, there is a gradual onset of a high fever over several days; [ 3 ] weakness, abdominal pain , constipation , headaches , and mild vomiting.
Diagnosis of continuous fever is usually based on the clinical signs and symptoms but some biological tests, chest X-ray and CT scan are also used. [2] Typhoid fever is an example of continuous fever and it shows a characteristic step-ladder pattern, a step-wise increase in temperature with a high plateau. [1]
Typhoid fever is caused by the bacterium Salmonella enterica Serovar Typhi. [ 37 ] In Canada alone, the typhus epidemic of 1847 killed more than 20,000 people from 1847 to 1848, mainly Irish immigrants in fever sheds and other forms of quarantine, who had contracted the disease aboard the crowded coffin ships in fleeing the Great Irish Famine .
Typhoid fever causes 11 million infections and more than 100,000 deaths per year, and is most prevalent in south Asia – which accounts for 70% of the global disease burden.
Children under the age of five years, the elderly, and immunosuppressed adults are at an increased risk of systemic dissemination of the disease and need specialized treatment to combat the disease. Drinking extra fluids and antibiotics such as fluoroquinolones are typical treatments. [ 13 ]
Dederich held that addicts lacked maturity or the ability to handle freedom responsibly. They must be broken down to be built back up. “Comfort is not for adults,” Dederich argued in a taped speech during the commune’s early days. “Comfort destroys adults.” John Peterson was one of the first to move into Synanon, as the commune was ...