TYPHOID FEVER

SALMONELLA TYPHII

 Lethargy Abdominal pain Fever Gram-negative rods No recent vaccinations

LONG STORY SHORT

Amazon River Cruise Food And drinks from the local people Bloody Stool

POSSIBLE BACTERIAL AGENTS THAT CAUSED THE ONSET OF INFECTION:

Salmonella typhii Shigella sonnei Escherichia coli

RULE OUT
Shigella sonnei
Gram negative

Eschirichia coli
Gram negative

Stomach cramps
Bloody diarrhea Bacteria will be passed from stool or SOILED HANDS

Bloody diarrhea
Transmission is when we come in contact with feces, and contaminated dairy products s/sx: NAUSEA AND VOMITTING

Mostly infected are CHILDREN

BASED ON HER SYMPTOMS AND LABORATORY RESULTS,WHAT BACTERIAL DSE MOST LIKELY RESPONSIBLE FOR HER INFECTION?

TYPHOID FEVER CAUSED BY THE PATHOGEN

Salmonella typhii

WHY?
THERE COULD BE TWO POSSIBLE ON WAYS ON HOW SHE COULD HAVE CONTRACTED THE DSE: SHE ATE WITH THE LOCAL PEOPLE AND

DRANK THE LOCAL WATER FROM HER TRIP

TO AMAZON RIVER CRUISE.

SHE HAS NOT BEEN VACCINATED FOR ANY INFECTIOUS DISEASE BEFORE HER TRIP.

HOW MIGHT SHE HAVE PREVENTED GETTING THE DISEASE?

VACCINATION PLAY SAFE AND HAVE YOUR OWN BAON

SUMMARY:
Therefore the disease acquired by the patient is typhoid fever Caused by the ingestion of the pathogen from the amazon river cruises local food and water S/Sx: abdominal pain, fever, lethargy, bloody stool

Diagnosis was indicated by the presence of gramnegative bacteria on the obtained blood smear and by the symptoms she had.
Treatment: Relapses are actually more common in individuals treated with antibiotics.

PREVENTION (NON-RX): "BOIL IT, COOK IT, PEEL IT, OR FORGET IT

IF YOU DRINK WATER, BUY IT BOTTLED OR BRING IT TO A ROLLING BOIL FOR 1 MINUTE BEFORE YOU DRINK IT. ASK FOR DRINKS WITHOUT ICE UNLESS THE ICE IS MADE FROM BOTTLED OR BOILED WATER. AVOID POPSICLES AND FLAVORED ICES THAT MAY HAVE BEEN MADE WITH CONTAMINATED WATER. EAT FOODS THAT HAVE BEEN THOROUGHLY COOKED AND THAT ARE STILL HOT AND STEAMING. AVOID RAW VEGETABLES AND FRUITS THAT CANNOT BE PEELED. AVOID FOODS AND BEVERAGES FROM STREET VENDORS.

PREVENTION (RX)
GET VACCINATED