During the cephalic phase of typhoid fever, which symptom is classically present?

During the cephalic phase of typhoid fever, which symptom is classically present?

• A. Constipation
• B. Pharyngitis
• C. Headache
• D. Cough

Answer: (C)

In the cephalic phase, typhoid fever presents with non-specific constitutional symptoms, and headache stands out as a classic early feature. Salmonella typhi triggers a systemic inflammatory response, so fever and generalized malaise accompany headaches that are common in the initial stage. While constipation can occur early due to slowed gut motility, the headache is the most characteristic sign of this phase. Pharyngitis or a prominent cough aren’t typical hallmarks of the early typhoid course.

In the cephalic phase, typhoid fever presents with non-specific constitutional symptoms, and headache stands out as a classic early feature. Salmonella typhi triggers a systemic inflammatory response, so fever and generalized malaise accompany headaches that are common in the initial stage. While constipation can occur early due to slowed gut motility, the headache is the most characteristic sign of this phase. Pharyngitis or a prominent cough aren’t typical hallmarks of the early typhoid course.