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D
FEVER
M.PRASAD
NAIDU
SIGNS
AND
SYMPTOM
S
TRANSMISSI
ON
DIAGNOSI
S
Bile broth
Castaneda's medium
Reaction
Lactose
S.typhi
-ve
S.Para A
-ve
S.Para B
-ve
Sucrose
Xylose
Glucose
-ve
-ve
A
-ve
-ve
A/G
-ve
A/G
A/g
Maltose
A/G
A/G
Mannitol
A/G
A/G
Indole
-ve
-ve
-ve
MR
+ve
+ve
+ve
VP
-ve
-ve
-ve
BIOCHEMICAL REACTIONS OF
SALMONELLA
INDOLE
MR
CITRATE
UREA
VP
SUGAR FERMENTATION OF
S.TYPHI
G
X
MAL
MAN
Sugar fermentation
reactions
S. Para A
G
X
MAL
S.Para .B
MN
G
X
X MAN MAL
PREVENTI
ON
Treatment
The
rediscovery
oforal
rehydration
therapyin the 1960s provided a simple
way to prevent many of the deaths
ofdiarrhealdiseases in general.
Where resistance is uncommon, the
treatment
of
choice
is
afluoroquinolonesuch
asciprofloxacin.Otherwise,
a
thirdgeneration
cephalosporin
such
asceftriaxoneorcefotaximeis the first
choice.Cefiximeis
a
suitable
oral
alternative.
SURGER
Y
Resistance
to
ampicillin,
chloramphenicol,
trimethoprimsulfamethoxazole,andstreptomyci
nis now common, and these
agents have not been used as
firstline treatment for almost 20
years.
Typhoid resistant to these agents
is known as multidrug-resistant
typhoid (MDR typhoid).
Almroth Edward
Wrightdeveloped the first
effective typhoid vaccine.
THANK
YOU