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Typhoid Fever

10 questions · History

Typhoid fever (more precisely: typhoid) is a severe, feverish intestinal disease that raged for centuries above all where clean water was lacking: in crowded cities, army camps and on ships. It is caused by the bacterium Salmonella Typhi, which enters the body through contaminated drinking water and food. The name comes from the Greek „typhos“, meaning something like „fog“ or „stupor“, describing the clouded state of the severely ill. Typical are slowly rising high fever, headache and abdominal pain, and sometimes reddish spots on the skin. Untreated, typhoid can last for weeks and end fatally. The case of the cook Mary Mallon, „Typhoid Mary“, became famous: as a symptom-free chronic carrier she unknowingly infected dozens of people: the first documented example of a healthy carrier. The best protection against typhoid is still clean water and food hygiene; there is also a vaccine. Antibiotics make the disease easily treatable, but resistant strains are of growing concern. In poorer countries typhoid still claims tens of thousands of lives each year and remains a measure of the state of the drinking-water supply.

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All questions with answers

Which bacterium causes typhoid fever?

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Salmonella Typhi

It is a close relative of the food-poisoning salmonellae.

💡 Did you know? Humans are its only host.

How is typhoid mainly transmitted?

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Contaminated water and food

The pathogen enters the gut through the mouth.

💡 Did you know? Good hygiene is the most effective protection.

What does the name „typhoid/typhus“ literally mean?

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Fog or stupor

It describes the clouded state of patients.

💡 Did you know? The term comes from Greek.

Which key symptom marks typhoid?

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High, lasting fever

It rises slowly over days.

💡 Did you know? Headache and abdominal pain add to it.

What was the famous healthy chronic carrier called?

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Typhoid Mary

She was a cook and infected many without being ill herself.

💡 Did you know? Her case coined the idea of the chronic carrier.

How is typhoid treated today?

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With antibiotics

Treated early, it is easily curable.

💡 Did you know? Resistant strains are, however, increasing.

Is there a vaccine against typhoid?

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Yes

Travellers to risk areas often get vaccinated.

💡 Did you know? Clean water still remains decisive.

Which reddish skin marks can appear with typhoid?

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Rose spots

They usually show on the abdomen.

💡 Did you know? They are a classic sign of the disease.

With which other disease is typhoid often confused?

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With typhus (spotted fever)

Typhus is spread by lice and is a different disease.

💡 Did you know? In English both names are confusingly similar.

Under which conditions does typhoid spread especially?

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With poor hygiene

Wars and disasters favour outbreaks.

💡 Did you know? Where sewers are lacking, the disease looms.

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