“…The disease causes much morbidity and mortality in developing countries and is characterized by prolonged fever, bacterial growth in cells of the reticuloendothelial system, and significant inflammation of the lymphoid organs of the small intestine. Symptoms of typhoid fever are characterized by fever (90-100%), coated tongue (96.3%), malaise (93.8%), headache (83.8%), nausea (27.5%), constipation (12.5%), abdominal distention (12.5%), diarrhea (11.3%), and melena (8.8%) [1]. Recognition of these symptoms important in preventing the delayed diagnosis of typhoid fever that can lead to severe typhoid infections such as such as extra-intestinal infectious on central nervous system, cardiovascular system, pulmonary system, bone, joints, hepatobiliary system, and genitourinary system [2].…”