Often asymptomatic or with poor appetite, dry cough, fever. Diagnosis is established if the Tuberculin test is positive or by chest X-ray where a wedge opacity related to the hilum, in any lobe, most commonly the right middle lobe is usually present. Infection is acquired by the fecal oral route and most often occurs by close contact involving contaminated hands, food, or fomites. The disease is most frequent in children ages 1-5 and typically occurs as outbreaks among individuals in close contact, including male homosexuals. Assess for lower-quadrant abdominal tenderness and hyperactive bowel sounds.
Antibiotics shorten the duration of diarrhea, eliminate the organisms from the stool.
The enteric fever organisms which are almost exclusively human parasites. All domestic pets intestinal excretors. Hen's eggs may also convey infection, but only from outside of shell. Raw milk is an important vehicle of infection. Processed meat dishes such as pies, inadequately cooked sausage, stews and reheated preparations.