Malaria and typhoid are two different diseases but sometime physicians are unable to diagnose them properly due to similarity in certain sign and symptoms.
Difference in Causative Agent:
Typhoid fever is caused by a gram negative bacteria named as salmonella typhi whereas malaria is a protozoal disease occur due to different species of Plasmodium such as P. falciparum, P. vivax, P. ovale, and P. malariae.However, there is one common factor between the two. Salmonella typhi is known to breed in dirty water which can also become ideal conditions for the breeding of mosquitoes .
Difference in transmission
Typhoid bacteria are usually contracted through food or water that have been contaminated with faeces or urine. Anyone who eats any food or drink any water that had any contact with typhoid-bearing stool or urine could contact typhoid fever. Flies, which settle on typhoid-bearing faeces or urine, do in most instances, settle on exposed food or water.
Malaria is contracted by mosquitoe bites.
Difference in Symptoms:
The symptoms of both typhoid and malaria differ considerably. For example in the case of malaria patient can experience nausea, vomiting, chills, fevers and diarrhea sometime but symptoms of typhoid are different in different stages.
Mainly there are four stages of typhoid. Single stage comprises of seven days. During the first stage patient can suffer high fever and persists for weeks (fever does not respond to antimalarials), abdominal pain,severe headache, bradicardia, cough and tiredness. In the second stage, fever, reduced heart rate, diarrhea or constipation, confusional state and rose spots on trunk occur. In the third stage patient may have some complications and the last stage is the stage of recovery.
Differential diagnosis Of Typhoid
The group of symptoms which most clearly suggests the diagnosis of typhoid fever is:
Gradually increasing fever with evening exacerbation and morning remission.
General malaise with headache.
Furred tongue with red edges and tip.
Epistaxis.
Relatively slow pulse (possibly dicrotic).
Abdominal distension with increased bowel sounds.
Tenderness in the right iliac fossa on firm pressure.
A roseolar eruption confined principally to the abdomen and chest.
Splenomegaly.
Bronchial catarrh.
Difference In Complication In Typhoid
Typhoid complications include Intestinal perforation with peritonitis (rapidly fatal, refer urgently to a surgeon) - presents as severe abdominal pain, tenderness, rebound tenderness and guarding.Acute psychosis (never refer any patient with fever and psychosis to the psychiatric hospital).Some specific complications of malaria are renal impairment, retinopathy, cerebral malaria, convulsions, coma and death.
Difference Diagnostic Tests:
Different tests are being performed to diagnose both malaria and typhoid but it is easier to diagnose malaria in comparison to typhoid. For typhoid following tests are recommended
Widal test
Typhidot test
Bone marrow test
Stool test
For malaria following types tests are being done;
Complete blood count (CBC)
Malarial Parasite (MP) test
Rapid diagnostic tests (RDTs) based upon the microscopic evaluation of causative agent.
Difference in Standard/Conventional Treatment:
For the treatment of malaria different types of anti-malarial drugs ( amodiaquine, lumefantrine, mefloquine or sulfadoxine/pyrimethamine) are used but for typhoid treatment, antibiotics such as ciprofloxacin and olfloxacin are commonly prescribed.
Herbal Treatment Of Malaria And Typhoid
Lemon Grass In Malaria:For treating malaria, a cup of boiling water is usually poured over lemon grass to make an fusion. It is then allowed to stand for about five minutes before it is strained and drank.
Lemon Grass In Typhoid:To treat typhoid, it is recommended that lemon grass leaf be boiled in water for about half an hour with whole lime, grape fruits, unripe pawpaw fruits, unripe pineapples, cut garlic and bark of Alstonia bonnei (awun in Yoruba; cheesewood/pattern wood in English).
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Friday, 9 October 2015
Labels:Herbs
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