[Typhoid fever].
Endemic in regions with poor hygienic conditions, Enteric fevers are imported in France by returning travellers. They are caused by Salmonella strains, mainly S. Typhi, transmitted via fecal-oral route. Salmonella reach the blood stream after proliferating in mesenteric lymph nodes. At an initial stage blood and bone marrow cultures, later on Widal-Felix serology permit diagnosis. Antibiotics have rendered death exceptional. Quinolones and ceftriaxone allow treatments shorter than 10 days. Immunization (Typhim Vi) and improvement of hygienic standards are the cornerstone of prevention.
Marchou
B
B
Service des maladies infectieuses et tropicales, Hôpital Purpan, Toulouse.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005602:France / Q000453:epidemiology; D006801:Humans; D007114:Immunization; D014435:Typhoid Fever / Q000188:drug therapy / Q000453:epidemiology / Q000276:immunology / Q000503:physiopathology / Q000517:prevention & control
D000900:Anti-Bacterial Agents
Fièvres typhoïdes.