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9.3.11

Complications of typhoid fever

Typhoid fever can be a variety of complications. Although in recent years by increased levels of diagnosis, treatment, complications have been reduced, but should still be wary of complications occur.


Common intestinal complications with intestinal bleeding and intestinal perforation, occur after the onset of second and third weeks postmenstrual age. Because of intestinal lesions appear second weeks postmenstrual age wall surface necrosis, third week form ulcers, and prone to bleeding and perforation. Intestinal disease not be bound by the laws of, sometimes occurs in the first week after the disease can be intestinal perforation or cases of intestinal bleeding. Therefore, when the child had typhoid fever should observe the performance of non-intestinal bleeding and intestinal perforation. 2-3 days before the General intestinal bleeding have diarrhea, pulse jump fast \' intestinal hemorrhage accompanied by abdominal pain. Blood loss can be much less weight when fecal appearance tends to see blood, requires a \"occult blood test\" to determine. Blood for a long time, faeces meal oil-like, or even bright red, or red frozen blood. Blood loss may have lower blood pressure, pale, shortness of breath, pulse jump fast. Intestinal perforation prior to vomiting, diarrhea, abdominal distension, perforation occurs when all of a sudden abdominal pain, much in the right lower abdomen, accompanied by a drop in body temperature, increased pulse fast, restless, delirious. If you do not timely surgery, often life-threatening, sometimes children with fasting greasy food, cellulose of vegetables to prevent intestinal peristalsis induced by increased quickly, hemorrhage or perforation.


Hepatobiliary complication of hepatitis and biliary infections. Hepatitis occurred in 1-2 weeks after \' may have liver increases hepatic dysfunction \' can have severe jaundice. 2-3 weeks after the normal body temperature returned to normal. Biliary tract is Salmonella Typhi like hiding place, bacteria grow fast in the bile. When bacteria in the intestines and blood after the elimination, not kill bacteria often exist in the gallbladder. \' When infection occurred in the course of 3-4 week \' to have sustained low \' upper right abdominal pain and tenderness of liver area.


Other complications include myocarditis, encephalitis, meningitis, kidney damage, and so on, are relatively rare. 1-2 weeks after myocarditis in diseases, symptom severity ranging from light can not \' only abnormal ECG. When heavy, can be expressed as pale, short of breath, mental confusion, rare in children with congestive heart failure and cardiogenic shock. Kidney donation when damage, symptoms of mild, checking urine protein and a small amount of red blood cells. If only a urine protein, normal body temperature can reduce inflammation, may have to heat a albuminuria. Persistent proteinuria-positive, or red blood cells, should be considering nephritis of typhoid fever. When complicated with viral encephalitis and meningitis symptoms more severe, but is now rare.

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