Typhoid abdominalis can be divided into the following stages:
- Stage incrementi (initial stage).
- Stage acmes or stage fastigii – symptoms appearing after about a week.
- Stage decrementi – after three to four weeks onset of symptomatology.
The following symptoms and complaints may indicate the stage incrementi (from Latin incrementum = “increase”) of typhoid abdominalis:
- General feeling of illness
- Pain in the limbs
- Cephalgia (headache)
- Feeling of thirst
- Constipation (constipation)
- Subfebrile temperatures
The following symptoms and complaints may indicate stage acmes or stdium fastigii (from Latin fastigium = “top, peak”) of typhoid abdominalis:
- Continuous high fever/febris continua (39-40 °C and fluctuates up to 1 °C).
- Restrictions of consciousness
- Delirium
- Splenomegaly (splenomegaly is usually palpable/tangible from the second week onward)
- Bloody-borky mucosal coatings
- Ulcer (ulcer) on the palatal arch
- Typhoid tongue – centrally gray-white/yellow occupied tongue with free reddish edges.
- Roseola typhi (bright red, pinhead-sized (2-4 mm), non-pruritic skin florescences/skin changes) on the trunk of the body (can be pushed away with a spatula) (in about 30% of cases).
- Leukopenia – reduction in the number of white blood cells in the blood.
The following symptoms and complaints may indicate the stage decrementi (from Latin decrementum = “decrease”) of typhoid abdominalis:
- Pea porridge-like diarrhea (diarrhea).
- Lytic fever
