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High fever, child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi Dr AAAAAAA here
User :   hello doc
User :   my 1 yr ols son has been hving high fever
Doctor :   ok
User :   for the lst 3 days
User :   we did malaria and urine test
Doctor :   ok
User :   both are fine
Doctor :   ok
User :   today we did typhoid test
User :   and im unable to understand the report
User :   need help
Doctor :   ok. tell me what has return in the report.
User :   report says anti S.typhi O titre 1:50
Doctor :   Written*
Doctor :   ok
User :   all the others are nil
User :   does it mean that he has typhoid
Doctor :   What they have concluded at the end of the report?
User :   there is no conclusion
User :   i can write down what is written in the report
Doctor :   What are the 'others'?
User :   anti s. typhi H titre: Nil
Doctor :   ok
User :   anti S.Paratyphi AH Titre : Nil
User :   Anti S.paratyphi BH titre : Nil
Doctor :   ok
User :   And after that it is written as " Rising titre is highly sginificant after repittition of tst
Doctor :   ok
User :   titres of 0-1:100 and above typically found in cases of enteric fever
Doctor :   ok
User :   the specifc organisms responsible is determined by noting H agglutination titre
User :   that is all
Doctor :   ok
User :   what can we conclude doc
Doctor :   Since you done the test in 3-4 week of fever, you told in yesterday chat, remember.
User :   yes
Doctor :   The rising titres are essential during this period for diagnosing the typhoid.
User :   ok
Doctor :   The value you mentioned as the reference is applicable only if test done in 1st week of fever.
User :   sorry i am not very clear
Doctor :   titres of 0-1:100 and above typically found in cases of enteric fever
User :   ok
Doctor :   Typhoid is caysed by 2 types of enteris bacterias
User :   ok
Doctor :   1.Salmonella typhi diagnosed by anti s. typhi H titre
User :   doc based on this report does he have typhoid or no...i am very worried
Doctor :   we have to repeat the test since it is not diagnostic
Doctor :   As i said earlier a rising values are diagnostic
User :   but we have just done the test yesterday
User :   how can we do it again
Doctor :   You can repeat the test after a week, if the test shows rising values then typhoid is considered.
User :   but already 4 weeks have passed
User :   the treatment needs to start for typhoid if there is typhoid
User :   the test was done to find out if there is typhoid?
User :   is 1:50 a rising value?
Doctor :   Yes . If there is no rise atleast a decline will suggest
Doctor :   A single value doesn't suggest any rising or declining.
User :   ok
Doctor :   the repeat will show the same
User :   for eg so is 1:25 a decline
Doctor :   Yes.
User :   ok
Doctor :   How is the fever today?
User :   101.2
Doctor :   ok
User :   we hd taken him to the doc to show his cbc and urine reports
Doctor :   ok
User :   based on these reprts doc has said he might nt hv typhoid
Doctor :   ok.
User :   however the typhoid report is confusing me now
Doctor :   Yes. i can understand. since this test accuracy depends on the duration of fever . a late test is always inconclusive.
User :   ok
User :   thanks doc
Doctor :   You are welcome.
Doctor :   Are there any more query to answer.?
Doctor :   Are you there?
User :   no thats all...
Doctor :   Ok. thanks for consulting me.
Doctor :   Bye for now.
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