Enteric Fever

• Febrile illness 5 to 21 days after ingestion of contaminated food or water

• Chills, diaphoresis, headache, anorexia, cough, weakness, sore throat, dizziness, and muscle pains are frequently present before the onset of fever.

• Diarrhea is an early symptom and occurs only in 50% of cases. Intestinal hemorrhage or perforation, leukopenia, anemia, and subclinical disseminated intravascular coagulopathy may be seen.

• Culture of stool, blood, or bone marrow for Salmonella species is helpful. Vascular Infection and Bacteremia

S. choleraesuis and S. dublin are the most common causative organisms. The risk of bacteremia is greater for infants, the elderly, and the immunocompromised.

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