Salmonellosis is the most common diseases caused by organisms. Abdominal cramps may also occur. Salmonellosis resulting symptoms are often referred to as food poisoning.
Although food poisoning is usually a mild illness, nausea, abdominal cramps, vomiting, diarrhea and dehydration can cause death (about 500 per year in the U.S.). It is important to note that many other organisms (eg viruses, E. coli, Shigella) and toxins (eg botulism, mushroom toxins, pesticides) can cause symptoms of food poisoning. Countries with poor sanitation has a much higher incidence of salmonellosis.
Salmonella can cause three different kinds of illness: gastroenteritis, typhoid fever, and bacteremia.
Fever generally occurs in the 100°F to 102°F (38°C to 39°C) range. Vomiting is less common than diarrhea. Headaches, myalgias (muscle pain), and arthralgias (joint pain) are often reported as well. Whereas the diarrhea typically lasts 24 to 72 hours, patients often report fatigue and other nonspecific symptoms lasting 7 days or longer.
Complications of Salmonella Infection
Typhoid fever, also known as enteric fever, is caused by Salmonella serotype typhi. The onset of symptoms usually occurs between 5 and 21 days after ingestion of Salmonela typhi bacteria. Symptoms may include constipation, cough, sore throat, headache, and a rash on the infected individual’s chest, as well as the slowing of the heartbeat and enlargement of the liver and spleen (Mayo Clinic, 2007, April 12).
Bacteremia is characterized by infection of tissues surrounding the brain and spinal cord (meningitis) and infection within the bloodstream (sepsis). This condition occurs when Salmonella enter and circulate within an infected individual’s bloodstream, and is accompanied by few symptoms (Mayo Clinic, 2007, April 12).
Reiter’s syndrome, which includes and is sometimes referred to as “reactive arthritis” is an uncommon, but debilitating, result of a Salmonella infection. Reiter’s syndrome is a disorder that causes at least two of three seemingly unrelated symptoms: reactive arthritis, eye irritation, and urinary tract infection (Hill Gaston & Lillicrap, 2003). The reactive arthritis associated with Reiter’s develops when a person eats food that has been tainted with bacteria. Reactive arthritis is characterized by the inflammation of one or more joints following an infection localized in another portion of the body, commonly the gastrointestinal tract. The symptoms of Reiter’s Syndrome usually occur between one and three weeks after the infection.
