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  Complications of enteric fever

Complications of enteric fever:

(1) Relapse:

Relapse includes the commonest complication of typhoid, taking place in some 10-20 percent of cases. In this, the symptoms recur subsequent the end of the initial, classical, attack. Without treatment, the course of a relapse is usually shorter and milder than the preliminary attack, though prolonged, severe and even complicated disease might take place.

(2) Perforation:
Perforation of the bowel takes place in 0.5-5 percent of cases and carries on to be the most dreaded complication of typhoid.

(3) Haemorrhage:

Haemorrhage from the bowel ulcerations might take place early in the disease though as the disease progresses bigger vessels might be included and, in pre-antibiotic days, rigorous haemorrhage occurred in 10-20 percent of patients. This would be acute and catastrophic

The paratyphoid fevers usually yield milder illness than typhoid. Individual situations of enteric fever can’t be diagnosed as typhoid or paratyphoid on clinical grounds only.

 

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