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KMID : 0381219710030070481
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Journal of RIMSK
1971 Volume.3 No. 7 p.481 ~ p.484
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THE DIAGNOSIS OF SALMONELLOSIS
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Abstract
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The main stream of the diagnosis of salmonella infection is divided to in two directions:
1. Laboratory methods: 2.. Evaluation of the clinical course & physical methods
1. Laboratory methods:
a. Culture of the blood & feces is the first choice of the diagnostic procedure, organism appear in the blood is earlier & in stool is later.
b. Serological test is the second choice of the diagnostic method, usually used titration of the agglutinins to known organism, if the procedure was done adequately & in time, the titer usually will be raised, but much less satisfactory than organism detection.
2. Evaluation of the clinical course & physical method:
a. Typhoid fever: Clinical course showed 3-4 weeks in untreated & unrecognized typhoid fever,
with a prolonged period of convalescence. Characteristic feature of the disease are gradual
onset & step like elevation of fever with rose spots in about 1% of cases. Also usually
have G-I symptoms in considerably high percentage & relatively slow pulse rate. Intestinal
hemorrhage & perforation is a most serious complication of the disease.
h. Other salmonella infections: a) Gastroenteritis: Short incubation period of 8 - 48hr. Family
outbreaks & sporadic occurrence is characteristic feature of the disease. G-I symptoms are
the significant feature of the disease. Fatality is less than 1%.
b) Enteric & paratyphoid fever: Occasionally similar picture to food poisoning & showed less severe & take considerably short period than typhoid fever. Carrier state is considerably rare & hardly differentiated from typhoid fever with clinical examination only.
c) Bacteremia: Prolonged fever & positive blood culture is the characteristic feature of the bacteremia. No. organism is discharged into feces & urine. Salmonella bacteremia can be found in many organs with polymorphonuclear leucocytes.
e) Local pyogenic infections: Pyogenic abscess in almost any anatomic site, no characteristic suppurative lesions & rare correct etiologic diagnosis can be made on the basis of clinical findings alone.
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KEYWORD
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