Salmonella typhi bacteria into the digestive tract and get into the bloodstream. This will be followed by inflammation in the small intestine and colon. In severe cases, affected tissues may experience bleeding and perforation (perforation).
Approximately 3% of patients infected by Salmonella typhi and not get treatment, the bacteria will be found in the stool for more than 1 year. Some of the carriers of these bacteria have no symptoms of typhoid fever.
90% of cases of typhoid fever occurred at the age of 3-19 years, the incidence increases after age 5 years. In the first week of illness, typhoid fever is very difficult to distinguish from other febrile illnesses. To confirm the diagnosis of germ culture examination is required for confirmation.
Symptoms and signs of Typhoid Fever:Usually symptoms begin gradually within 8-14 days after infection. Symptoms can include fever, headache, joint pain, sore throat, constipation, decreased appetite and abdominal pain. Sometimes patients feel pain when urinating and there coughing and bleeding from the nose. If treatment is not started, then the body temperature will slowly rise within 2-3 days, which reached 39.4 to 40 ° C for 10-14 days. The heat began to fall gradually by the end of the third week and returned to normal by the fourth week. Fever is often accompanied by slow heart rate and fatigue. In severe cases can occur delirium, stupor or coma. In about 10% of patients incurred a small pink spots on the chest and abdomen during the second week and lasts for 2-5 days.
Complications of Typhoid Fever
- Most of the patients experienced complete healing, but there could be complications, especially in patients with untreated or if treatment is delayed, among others:
- Many patients experiencing intestinal bleeding; about 2% suffered severe bleeding. Bleeding usually occurs in the third week.
- Intestinal perforation occurs in 1-2% of patients and cause severe abdominal pain.
- Pneumonia can occur in the second or third week and is usually caused by pneumococcal infection (although the typhoid bacteria can also cause pneumonia).
- Liver and bladder infections.
- Blood infection (bacteremia) sometimes cause bone infection (osteomyelitis), heart valve infection (endocarditis), infection of the lining of the brain (meningitis), infection of the kidneys (glomerulitis) or genital-urinary tract infections.
- In about 10% of untreated cases, symptoms of re-infection occur within two weeks after the fever subsides.
There are some plants that can be used to treat typhoid fever, among others:
- 30 grams of leaves of Centella asiatica, (Linn), Urban, plus 10 grams of leaves of Coleus amboinicus, Lour, boiled with 2 cups water to boil, drink one cup 2 times a day. Each drink can be added 1 tablespoon of honey.
- 10-15 leaves of Green chirayta - Andrographis paniculata Ness boiled with 400cc of water until the remaining 200cc. After chilling filtered, add honey to taste and drink well. Do it 3 times a day.