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Viral infections but there may be fever and signs of supper respiratory tract infection. In typhoid the effects of septicaemia may predominate treatment rapid rehydration is required,
Usually intravenously. If there is delay in this in severe casse, volume depletion may cause peripheral circulatory shock resulting in impaired placental circulation,
Which can cause intrauterine fetal death. Specific treatment depends on the causation of the infection and on drugs available. Ampicilling, co.treimoxazole or tetracycline are prescribed for shigella infections and chloramphenicol for typhoid and other salmonella infections.
BLOODY DEYSENRY
stools containing mucus and blood results from invasion of the bowel wall by pathogens and damage to colonic mucosa. Immediate examination of a fresh stool sample is necessary to search for entammoeba histolytica. If this has been excluded,
The cause of the illness may be a shigella or a pathogenic strain of e .coli ,staphylococcus or campylobacter. Admission to hospitals is required. The further management of patients with bloody dysentery is the same as that described for complicated acute watery diarrhea, but recovery will take longer,
Amoebiasis
Amoebec dysentery during pregnancy has a high mortality which is partly due to delay in diagnosis. Even when Amoebiasis is a remote possibility, therfore, Microscopic examination of a fresh stool is essential. This must be performed without delay in an adjacent clinical side room,
Not send to a distant laboratory if active trophozoites are to be identified. In acute cases there is profuse and blood diarrhoea fever, abdominal destension and anaemia are consistent findings. Peripheral circulatory collapse develops quickly due to fluid and electrolytes loss or, later, to bowel hemorrhage or perforation .specific treatment must be commenced clinically . Metronidazole is the treatment of choice irrespective of the duration of pregnancy. Fluid and electrolyte deficiencies should be replaced usually intravenously and,
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