Typhoid fever is an acute illness associated with fever that is most often caused by the Salmonella typhi bacteria. It can also be caused by Salmonella paratyphi, a related bacterium that usually leads to a less severe illness. The bacteria are deposited in water or food by a human carrier and are then spread to other people in the area. Typhoid fever is rare in industrial countries but continues to be a significant public-health issue in developing countries.
Typhoid fever is treated with antibiotics that kill the Salmonella bacteria. Prior to the use of antibiotics, the fatality rate was 20%. Death occurred from overwhelming infection, pneumonia, intestinal bleeding, or intestinal perforation. With antibiotics and supportive care, mortality has been reduced to 1%-2%. With appropriate antibiotic therapy, there is usually improvement within one to two days and recovery within seven to 10 days.Don’t try to treat a sexually transmitted disease, or STD, yourself. These diseases are contagious and serious. You must see a doctor.
Bacterial STDs can be cured with antibiotics if treatment begins early enough. Viral STDs cannot be cured, but you can manage symptoms with medications. There is a vaccine against hepatitis B, but it will not help if you already have the disease.
Here are some specific STD treatments:
HIV/AIDS: Since AIDS is not curable, treatment focuses on keeping HIV levels in check. Antiretroviral drugs are the standard therapy for HIV infection, and usually you will be given several drugs to take, a so-called drug “cocktail.” The question of when to begin antiretroviral therapy for HIV is still debated. Some doctors believe in an early start to better manage the HIV virus, while others believe it is better to wait since the drugs can cause unpleasant side effects and drug resistance may develop. Talk to your doctor about when you should begin antiretroviral therapy.
Chlamydia and Gonorrhea: These STDs are treated with antibiotics. You should begin taking them if tests show you have chlamydia or gonorrhea or if you have been exposed to them, even though you may not have symptoms. Your sex partners will also have to be treated regardless of whether they have symptoms. Certain strains of gonorrhea have become resistant to some antibiotics, so you may have to take more than one drug to fight gonorrhea. Failure to treat chlamydia or gonorrhea can result in permanent damage to your reproductive organs and an inability to get pregnant.
Syphilis: Penicillin is the preferred treatment for syphilis. Early treatment is crucial to prevent the bacteria from spreading to and damaging other organs.
Genital herpes: Once you are infected with genital herpes, the virus remains in your body for life. After the first outbreak, herpes may flare up several times per year, but these episodes may lessen over time. Antiviral medication (such as Zovirax, Famvir, and Valtrex) can help reduce the length and severity of both the initial and subsequent herpes outbreaks. If you have outbreaks often, you may want to use suppressive therapy. In suppressive therapy, your doctor prescribes medicine for you to take every day, to prevent you from getting a herpes outbreak.
Genital warts: There is no standard of treatment for genital warts. Most genital warts will disappear without treatment, so your doctor may choose to do nothing. However, you will still carry the virus that causes warts and can still transmit it to sex partners. If you do choose to treat genital warts, you have several options. Freezing the warts or applying medication directly to them are often the first choices. If genital warts do not respond to these options, surgery may be necessary to remove them. Keep in mind that treatment does not rid you of the infection, and you can still transmit it to others