Handojoet al (27) found 7% false positivity for Widal test in non typhoidal
The majority of cases were in children and were typhoidal
Another aspect of this disease worth noting is that typhoidal
or pneumonic tularemia, especially in non-endemic areas, should suggest the possibility of an act of bioterrorism.
tularemia patients present with fever, weight loss and prostration but not lymphadenopathy.
 Torres, et al reported 10 cases of typhoidal
solitary splenic abscesses.
Salmonella are well known for their impact on human and animal health as they are associated with a wide range of clinical problems, including typhoidal
and non-typhoidal infections.
Other forms of tularemia include oculoglandular (infection of the eye) and typhoidal
(fever without localizing signs) (3).
Antimicrobial resistance in non- typhoidal
Salmonellafrom human sources, Spain, 2001-2003.
The clinical presentations are serious and multiple, ranging from glandular to pneumonic and typhoidal
It is interesting to note that an association between non-typhoidal salmonellosis and/or typhoidal
salmonellosis and malaria was reported in the studies reviewed.
Occasionally tularemia in humans is divided into 2 categories: the external form which includes the ulceroglandular form (in which local or regional signs predominate) and the internal form which includes the more lethal typhoidal
form (in which systemic signs dominate the clinical picture).
Evaluation of the current trend of nalidixic acid susceptibility in typhoidal
Salmonellae; A marker of therapeutic failure for the fluoroquinolones.