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Child has fever. Normal tests. Previously had typhoid. Widal test suggested

Hi Doctor, My child is 2 and half year old. I have a daughter. Last 2 month she is suffering from fever . All the report are normal. 2 month back she suffered from tyfied and we finished the course but today doctor is saying that her tyfied not balanced. They ask me to do the paracemtol syrup and ask me to do the Widal test .Please advise
Asked On : Sun, 18 Nov 2012
Answers:  2 Views:  53
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Pediatrician, Neonatology 's  Response
It is not clear what investigations are already done showing normal reports. It would be helpful to answer if you mentioned those.
Widal Test is a presumptive serological test for typhoid fever. The report is compared with child's history of previous typhoid fever, typhoid vaccination, general level of antibody in the community (local titre) and present clinical condition of the child. As your child had typhoid fever episode 2 months back, the interpretation of the result would be difficult. More definite tests like blood culture would be necessary to reach the diagnosis.
I would therefore suggest to get your child thoroughly examined by pediatrician and start treatment as necessary.
Answered: Mon, 19 Nov 2012
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Pediatrician Dr. Amit Kumar's  Response
hello there,
typhoid should not be the first diagnosis in any illness that lasts for more than 2 months but it may be a possibility, so there is no harm in going for widal test.

some other tests that would be more informative in a fever of 2 months duration are blood culture, urine culture, bone marrow examination and culture, mantoux test, ultrasound abdomen etc. and some other tests to rule out immunosuppressive diseases, tuberculosis etc.

so you can discuss about these with your doctor and ask if he thinks there is necessity of these tests.

you can write to me if need further suggestion.
wish your daughter a rapid recovery

Answered: Mon, 19 Nov 2012
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