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    Komplikasi Dan Prognosis Demam Tifoid

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    Pundi Pandan Putri Pinanti
    Intestinal hemorrhage and perforation are the most serious complications of typhoid fever, occurring in 2-8% and 1-4% of cases respectively. Other less common complications include toxic hepatitis, myocarditis, bronchitis, and pneumonia. While the case fatality rate of typhoid fever is typically 0.5-1%, risk is higher for older patients and those experiencing serious complications like intestinal bleeding or perforation. Most patients develop long-lasting immunity following infection.

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    Komplikasi Dan Prognosis Demam Tifoid

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    Pundi Pandan Putri Pinanti
    119 views6 pages
    Intestinal hemorrhage and perforation are the most serious complications of typhoid fever, occurring in 2-8% and 1-4% of cases respectively. Other less common complications include toxic hepatitis, myocarditis, bronchitis, and pneumonia. While the case fatality rate of typhoid fever is typically 0.5-1%, risk is higher for older patients and those experiencing serious complications like intestinal bleeding or perforation. Most patients develop long-lasting immunity following infection.

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    Intestinal hemorrhage and perforation are the most serious complications of typhoid fever, occurring in 2-8% and 1-4% of cases respectively. Other less common complications include toxic hepatitis, myocarditis, bronchitis, and pneumonia. While the case fatality rate of typhoid fever is typically 0.5-1%, risk is higher for older patients and those experiencing serious complications like intestinal bleeding or perforation. Most patients develop long-lasting immunity following infection.

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    119 views6 pages

    Komplikasi Dan Prognosis Demam Tifoid

    Uploaded by

    Pundi Pandan Putri Pinanti
    Intestinal hemorrhage and perforation are the most serious complications of typhoid fever, occurring in 2-8% and 1-4% of cases respectively. Other less common complications include toxic hepatitis, myocarditis, bronchitis, and pneumonia. While the case fatality rate of typhoid fever is typically 0.5-1%, risk is higher for older patients and those experiencing serious complications like intestinal bleeding or perforation. Most patients develop long-lasting immunity following infection.

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    of 6

    KOMPLIKASI DAN

    PROGNOSIS

    DEMAM TIFOID
    Complications

    Intestinal hemorrhage
    Commonly appear during the second-third
    week
    may be mild or severe bleeding
    often caused by unsuitable food, and diarrhea

    serious bleeding in about 2~8%


    clues: sudden drop in temperature, rise in
    pulse, and signs of shock followed by dark or
    fresh blood in the stool.
    Intestinal perforation:
    more serious. Incidence:1-4%
    Commonly appear during 2nd-3rd week.
    Take place at the lower end of ileum.
    Before perforation,abdominal pain or
    diarrhea,intestinal bleeding .
    When perforation: abdominal pain, sweating, drop in
    temperature, and increase in pulse rate, then rebound
    tenderness +ve
    reduce or disappear in the dullness of liver,
    leukocytosis .
    Temperature rise when peritonitis appear.
    free air in abdominal x-ray.
    Toxic hepatitis:

    common,1-3 weeks

    hepatomegaly, ALT elevated

    get better with improvement of disease in 2~3


    weeks
    Toxic myocarditis.

    seen in 2nd-3rd week, usually severe toxemia.


    Bronchitis, bronchopneumonia.

    seen in early stage


    Complications

    Intestinal bleeding
    or perforation

    The most serious


    complication of typhoid
    fever

    Other, less common


    Myocarditis
    Pneumonia
    pancreatitis
    UTI
    Osteomyelitis
    Meningitis
    Psychiatric problems
    Prognosis:
    Case fatality 0.5-1%.

    but high in old ages, infant, and serious


    complications
    immunity long lasting

    About 3% of patients become fecal


    carriers .

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