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Paratyphi B strains are differentiated into 2 distinct pathotypes on the basis of their ability to ferment tartrate: the first pathotype, Paratyphi B, is unable to ferment tartrate and is associated with paratyphoid fever; the second pathotype, Paratyphi B var. For more details on nontyphoidal salmonellosis, see the Sec. Typhoid and paratyphoid fever are acquired through consumption of water or food contaminated by feces of an acutely infected or convalescent person, or a person with chronic, asymptomatic carriage. An estimated 11—21 million cases of typhoid fever and 5 million cases of paratyphoid fever occur worldwide each year, causing an estimated,—, deaths. Travelers visiting friends and relatives are at increased risk because they might be less careful with food and water while abroad than other travelers and might not seek pretravel health consultation or typhoid vaccination see Sec. The incubation period of both typhoid and paratyphoid infections is 6—30 days. Fever is commonly lowest in the morning, peaking in the late afternoon or evening.
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