Hi, thanks for asking in Healthcare Magic.
, the fever is mostly in step ladder pattern- starts with a low grade and then peaks around 103 to 104 F by the end of first week. On the other hand viral fever
starts with high grade fever and then as days go the fever comes down. The tongue is coated and there may be associated cough in typhoid.
in typhoid is 100% specific in the diagnosis of typhoid. It is invariably positive for typhoid producing organism (bacteria)in the first week. From second week onward blood culture becomes gradually negative and stool culture becomes positive.
Since the blood culture in the first week is negative, it may not be Typhoid. But still, having started the antibiotic, it is wise to continue it. Paracetamol
are supportive treatment to reduce fever and can be given as specified by you Dr.
I hope this is useful to you.