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Have fever. Positive to salmonella typhi and "o" salmonella typhi "H". Medication? - Online Doctor Chats

Date : 03-Aug-2013
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User:having high fever from past 3 days.. consulted a doctor and he suggested for blood test and asked me to have these medicines.

1. Dolo-650,
2. Gramocef-O 200 DT
3. Cetrizin

doing the blood test from 2 days and report is not good as the doctor says. the odd things he pointed as below.

Total W.B.C count : 0000
Platelet Count : 1.48 (on 1st test) 1.47 (on 2nd test) lakhs/cmm

salmonella typhi "o" : Positive up to 1:160 Dilutions.
salmonella typhi "H" : Positive up to 1:80 Dilutions.

do i have to take any other medicines along with that?
User:hi doctor
Doctor:Dr. XXXXXXX here
User:i am having high fever from past 4 days
User:today is bit less ..
Doctor:Your reports suggest that you have an infection. Salmonella typi o titre is significant, however not sufficient to diagnosis typhoid.
Doctor:We require repeat widal test to document rise in titre to diagnose typhoid or a blood culture test.
User:ok.. do i need to do some more tests?
Doctor:I would be able to tell you if you can explain your symptoms better.
Doctor:I wish to know the duration since the fever started?
Doctor:Is there any other symptoms along with fever?
User:fever started from Monday Morning
User:and it was always 100 -102
User:and a throat infection.. which can't allow me to shallow any pains a lot
Doctor:Is the temperature continuously at 100, or was the fever intermittent in nature.
User:no not constant at 100..
Doctor:Did you have throat pain, nasal congestion, headache, nausea and vomiting?
User:headache sometime bacause of this throat pain..
User:and no other symptoms..
Doctor:In the absence of nausea and vomiting, the complaint is most likely related to upper respiratory infection.
User:went to another holpital this morning and they have taken blood sample for some more test..
Doctor:A throat swab test can help us identify the problem, however since you are already on antibiotic, it is futile to perform the test now.
Doctor:Antibiotics take at least couple of days to show results.
Doctor:If fever persists even after 3 days of antibiotic course, you can get a throat swab test, peripheral swab for malarial parasite and urine routine test
Doctor:A blood culture may be needed accordingly.
Doctor:I wouldn't recommend repeat tests as of now.
Doctor:Have you followed what I suggested?
Doctor:Do you have any other question?
User:yes..i understand..
User:will share the test reports once i get it today..
Doctor:Do you have any other question?
User:they are expecting this could be Dengue
User:so i am little scare..
User:no more questions..from me
User:thank you very much..
Doctor:Do not worry. You are free to chat with us if you have any other concerns.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
Question is related to
Diseases and Conditions
Lab Tests
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