Leukocyte Count In Typhoid Fever Sufferers?
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Typhoid fever, a disease caused by Salmonella typhi infection in the human body. This infection enters through bacterial contamination in food or food security that is poorly maintained and personal hygiene that is poorly maintained. Patients with typhoid fever can provide accompanying complaints in the form of fever, headache, decreased appetite, abdominal pain, diarrhea, coughing, or bloating until bleeding. However, not all typhoid fever patients experience the same complaint, every typhoid fever patient can be accompanied by several different symptoms, so that sometimes further evaluation and examination of patients with fever for more than 3 days is needed.
In the initial condition, sometimes the symptoms of typhoid fever, rarely can provide a clear picture, so that sometimes, patients with fever at the beginning of the complaint or fever on the first day until the third visit back to the doctor because the patient's fever has not improved. So identifying the patient's clinical condition, and planning laboratory investigations in patients with fever, especially fever for more than 3 days or more than 7 days will help provide better information on determining the cause of fever or establishing a diagnosis of typhoid fever.
In further examinations carried out by doctors, patients are often planned for a supplementary examination in the form of a complete blood examination or other supporting examinations such as a culture examination if the fever is more than 3 days or more than 5 days or more than 7 days. Diagnosis, patients with typhoid fever, in addition to being supported from patient complaints, physical examination results, can also be supported by simple investigations such as complete blood tests, where can be found the presence of leukopenia (leukocyte values lower than normal) or can also be found thrombocytopenia (values platelets lower than normal). This condition can be triggered by the process of hemophagocytosis (the process of consuming / damaging cells) and the influence of toxins when the Salmonella infection process occurs, so that white blood cells, platelet cells, and even red blood cells can decrease.
However, from the results of a complete blood test, there can also be an increased condition of leukocytes, or leukocytosis, where this condition can occur in the first 10 days of infection, or can occur due to the influence of other infections, such as
1. local infection, infected wound, inflammation of the skin with secondary infection
2. perforation (injury until leakage) gastrointestinal tract
3. other complications outside the gastrointestinal tract
4. Other infections, such as strep throat, sinusitis or inflammation of the sinuses
Whereas the results of a complete blood test where leicocytes are normal in patients with typhoid fever, can occur because the patient's immune system can compensate properly. So that the process of phagocytosis of white blood cells does not cause excessive reductions in leukocytes.
However, you need to discuss all of this with your treating doctor or specialist in internal medicine, especially if you have been diagnosed with typhoid fever. The doctor will conduct a direct examination on the patient and plan supporting examinations according to the indications. The results of the examination will be a reference for the doctor to provide medical information for you and as a basis for the doctor to provide further treatment and care for the patient.
For now, follow the doctor's advice in the recovery and treatment period, such as adequate sleep, adequate rest, adequate healthy food and fluids; so the recovery process can go well.
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