Clinical pathogenesis of typhoid fever

Human infections with Salmonella enterica results in two major groups of diseases: gastroenteritis and typhoid fever. Clinical observations suggest that gastroenteritis, caused by non-typhoidal Salmonella serovars, is characterized by a massive neutrophil influx, which keeps the infection localized...

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Main Authors: Manuela Raffatellu, R. Paul Wilson, Sebastian E. Winter, Andreas J. Baumler
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2008-08-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/219
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author Manuela Raffatellu
R. Paul Wilson
Sebastian E. Winter
Andreas J. Baumler
author_facet Manuela Raffatellu
R. Paul Wilson
Sebastian E. Winter
Andreas J. Baumler
author_sort Manuela Raffatellu
collection DOAJ
description Human infections with Salmonella enterica results in two major groups of diseases: gastroenteritis and typhoid fever. Clinical observations suggest that gastroenteritis, caused by non-typhoidal Salmonella serovars, is characterized by a massive neutrophil influx, which keeps the infection localized to the intestinal mucosa. In contrast, the absence of neutrophilic intestinal infiltrates in the acute phase of typhoid fever suggests a propensity for typhoidal Salmonella serovars (S. Typhi, S. Paratyphi A, S. Paratyphi B and S. Paratyphi C) to evade aspects of the innate immune response and cause a systemic infection. The fact that there are no virulence genes shared by typhoidal Salmonella serovars that are absent from non-typhoidal Salmonella serovars, suggests that this innate immune evasion is mediated by different mechanisms in different typhoidal serovars. This review discusses what is known about the clinical pathogenesis of typhoid fever.
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language English
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publisher The Journal of Infection in Developing Countries
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series Journal of Infection in Developing Countries
spelling doaj-art-b6cbc2ac0ea54635a224a03d1cdfbe242025-08-20T02:27:19ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802008-08-0120410.3855/jidc.219Clinical pathogenesis of typhoid feverManuela Raffatellu0R. Paul Wilson1Sebastian E. Winter2Andreas J. Baumler3Department of Medical Microbiology and Immunology, School of Medicine, University of California at DavisDepartment of Medical Microbiology and Immunology, School of Medicine, University of California at DavisDepartment of Medical Microbiology and Immunology, School of Medicine, University of California at DavisDepartment of Medical Microbiology and Immunology, School of Medicine, University of California at DavisHuman infections with Salmonella enterica results in two major groups of diseases: gastroenteritis and typhoid fever. Clinical observations suggest that gastroenteritis, caused by non-typhoidal Salmonella serovars, is characterized by a massive neutrophil influx, which keeps the infection localized to the intestinal mucosa. In contrast, the absence of neutrophilic intestinal infiltrates in the acute phase of typhoid fever suggests a propensity for typhoidal Salmonella serovars (S. Typhi, S. Paratyphi A, S. Paratyphi B and S. Paratyphi C) to evade aspects of the innate immune response and cause a systemic infection. The fact that there are no virulence genes shared by typhoidal Salmonella serovars that are absent from non-typhoidal Salmonella serovars, suggests that this innate immune evasion is mediated by different mechanisms in different typhoidal serovars. This review discusses what is known about the clinical pathogenesis of typhoid fever.https://jidc.org/index.php/journal/article/view/219SalmonellaTyphipathogenesis
spellingShingle Manuela Raffatellu
R. Paul Wilson
Sebastian E. Winter
Andreas J. Baumler
Clinical pathogenesis of typhoid fever
Journal of Infection in Developing Countries
Salmonella
Typhi
pathogenesis
title Clinical pathogenesis of typhoid fever
title_full Clinical pathogenesis of typhoid fever
title_fullStr Clinical pathogenesis of typhoid fever
title_full_unstemmed Clinical pathogenesis of typhoid fever
title_short Clinical pathogenesis of typhoid fever
title_sort clinical pathogenesis of typhoid fever
topic Salmonella
Typhi
pathogenesis
url https://jidc.org/index.php/journal/article/view/219
work_keys_str_mv AT manuelaraffatellu clinicalpathogenesisoftyphoidfever
AT rpaulwilson clinicalpathogenesisoftyphoidfever
AT sebastianewinter clinicalpathogenesisoftyphoidfever
AT andreasjbaumler clinicalpathogenesisoftyphoidfever