Fast Five Quiz: How Much Do You Know About Typhoid Fever?

Michael Stuart Bronze, MD

Disclosures

April 13, 2017

For empirical treatment of uncomplicated typhoid fever, cefixime and, as a second-line agent, azithromycin may be indicated. For complicated typhoid fever, ceftriaxone may be used. Aztreonam and imipenem are second-line agents for complicated cases.

Treatment should not be delayed for confirmatory tests because prompt treatment drastically reduces the risk for complications and death. Antibiotic therapy should be narrowed once more information is available. If antibiotic treatment fails to eradicate the hepatobiliary carriage, the gallbladder should be resected. Cholecystectomy is not always successful in eradicating the carrier state because of persisting hepatic infection.

For more on the treatment of typhoid fever, read here.

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