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TM: Typhoid (ii) (3rd wk (if untxed, high risk (5-10%) of intestinal…
TM: Typhoid (ii)
3rd wk
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prolonged apathy, delirium, disorientation psychosis, coma
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cough, tachypnoea, crackles
if untxed, high risk (5-10%) of intestinal haemorrhage + perforation from necrotic Preyer's patches
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Tx
with appropriate early tx (1st few days of illness) the disease begins to remit after about 2 days, with markers improvement within 4-5 days
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surgery if perforation, or chronic shedding via gallbladder if antibiotic fails
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