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etiological agent
Salmonella typhi
Distinguishing characteristics of etiological agent:
Flagellated, gram-negative rods
Primary, true pathogens
Resistant to chemicals (bile, dyes)
Survive outside host
Virulence Factor(s):
Well-developed virulence factors
Adherence to small intestine
Invasive diarrhea and ulceration of intestinal wall
Predisposing Factors:
Consumption of fecally contaminated food or water
Contact with carriers or contaminated fomites
Exposure to animal carriers (poultry, cattle, reptiles)
Transmission:
Fecal-oral route via contaminated food, water, fomites
ID (infectious dose) = 1,000–10,000 cells
Syndrome (signs + symptoms):
Diarrhea
Fever
Abdominal pain
Septicemia (in typhoid fever)
Asymptomatic carriers (especially in typhoid fever)
Affected body region/system:
Gastrointestinal tract
Gallbladder (chronic carriers)
Treatment:
Typhoid fever: chloramphenicol or sulfatrimethoprim
Chronic carriers: gallbladder removal
Animal salmonelloses: rehydration therapy and/or antibiotics
Prevention:
Vaccines for typhoid fever (temporary protection)
Proper handling and cooking of poultry and dairy products
Hygiene to avoid fomite transmission
Other notes:
Typhoid fever caused by Salmonella Serotype Typhi
Animal salmonelloses caused by many serotypes of Salmonella enterica
Safe assumption: All poultry products are contaminated
Salmonella typhi
most serious pathogen of the genus; cause of typhoid fever; human host
Salmonella cholerae-suis
zoonosis of swine
S. enteritidis
includes 1,700 different serotypes
all salmonella species grouped together called what?
Salmonella enterica