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Treatment of Chronic Typhoid Carriers by Cholecystectomy

Julia L. Freitag
Public Health Reports (1896-1970)
Vol. 79, No. 7 (Jul., 1964), pp. 567-570
DOI: 10.2307/4592192
Stable URL: http://www.jstor.org/stable/4592192
Page Count: 4
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Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Treatment of Chronic Typhoid Carriers by Cholecystectomy
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Abstract

Release of typhoid carriers in New York State no longer requires submission of duodenal specimens. This modification was based primarily on the findings that: (a) gallbladder carriers consistently excrete typhoid bacilli in their stools, (b) if cured by cholecystectomy, carriers convert to consistently negative stools, and (c) no carrier would have been released prematurely if examination of duodenal specimens had been omitted. From 1945 through 1963, 54 chronic typhoid carriers underwent cholecystectomy. Of 34 for whom determination of postoperative status was possible, 30 were considered cured. Ninety-seven percent of the preoperative fecal specimens submitted were positive for Salmonella typhosa.

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