TYPHOID

Typhoid Fever

It is caused by Salmonella typhi bacteria. Typhoid fever is rare in developed countries. It is still a serious health threat in the developing world, especially for children.

Contaminated food and water or close contact with an infected person cause typhoid fever. Signs and symptoms usually include:

  • High fever
  • Headache
  • Stomach pain
  • Constipation or diarrhea

Most people who have typhoid fever feel better a few days after they start antibiotic treatment, but a small number of them may die of complications. Vaccines against typhoid fever are only partially effective. Vaccines usually are reserved for those who may be exposed to the disease or who are traveling to areas where typhoid fever is common.

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Symptoms

Signs and symptoms are likely to develop gradually — often appearing one to three weeks after exposure to the disease.

Early illness

Signs and symptoms include:

  • Fever that starts low and increases daily, possibly reaching as high as 104.9 F (40.5 C)
  • Headache
  • Weakness and fatigue
  • Muscle aches
  • Sweating
  • Dry cough
  • Loss of appetite and weight loss
  • Stomach pain
  • Diarrhea or constipation
  • Rash
  • Extremely swollen stomach

Later illness

Without treatment, you may:

  • Become delirious
  • Lie motionless and exhausted with your eyes half-closed in what’s known as the typhoid state

Life-threatening complications often develop at this time.

In some people, signs and symptoms may return up to two weeks after the fever has subsided.

When to see a doctor

See a doctor immediately if you think you might have typhoid fever. If you live in the United States and become sick while traveling in a foreign country, call the U.S. Consulate for a list of doctors.

If you have signs and symptoms after you return home, consider seeing a doctor who focuses on international travel medicine or infectious diseases. A doctor who is familiar with these areas may be able to recognize and treat your illness more quickly.U