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TM: Typhoid (i) (Pathogenesis (organ involvement (BM (biopsy + aspirate…
TM: Typhoid (i)
Pathogenesis
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macrophages, T cells, neutrophils cause inflamm
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Intro
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globally 33 million cases + 500,000 deaths /yr
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esp Nepal, India, Indonesia, SE Asia, Africa
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Transmission
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contaminated toilet area, poor hygiene
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Dx
Culture + sensitivity
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sensitivities: wk1:90%, wk2:75%, wk3:60%, wk4+:25%
RDTs (IgM, IgG) not v useful
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Salmonella enterica
serotypes...
typhi
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3 antigens
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H: flagella, strongly immunogenic, induces Ab formation rapidly + in high titres following infection/immunisation
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paratyphi A,B,C
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usually milder, less serious, lower mortality
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