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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Continuous Typhoid Fever With Temperature Of 99 And More. Suggested Temperature Due To Weakness. Thoughts?

Hello Doctor,
My daughter has been suffering from typhoid since one and a half month before i.e. from 19th August till today (11 Sept).Report shows "Weekly Positive" on 30th August. Now she has 99 or 99.7 Degree temperature daily. Please let me know when she will get recover fully or what should I do. According to child specialist she is fine, only due to weakness, body gets this much temperature.
Thanks & Regards
Mon, 16 Sep 2013
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General & Family Physician 's  Response
Hi and thanks for the query,

Typhoid fever for sure could be very challenging to treat. This is usually for three main reasons: Firstly, the inappropriate drug for the particular germ can be used, secondly, treating for a shorter during of time the required and thirdly, using an antibiotic to which the germ is already resistant to. It is not rare however to mistake a different infectious process for typhoid fever.

Concerning the blood tests, persistence of antibodies or positivity of the test after treatment does not mean that the treatment was not effective. It might take some time for these antibodies to be cleared from the system. It might be interesting however to get samples of blood and stool, to carry out a stool culture and antibiotic sensitivity test and also a blood culture. the germ could be specifically identified and the antibiotic capable for curing it appropriately administered.

Simple blood test to check for hemoglobin levels to be sure its not anemia should not be undermined. Persistence of these symptoms after all these could at some point necessitate the opinion of an infectious disease specialist (infectiologist). It is rare however not to get children treated after following the above mentioned recommendations, especially from my experience. thanks and hope this helps as I wish you the best of health. Kind regards,

Bain LE, MD.
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Continuous Typhoid Fever With Temperature Of 99 And More. Suggested Temperature Due To Weakness. Thoughts?

Hi and thanks for the query, Typhoid fever for sure could be very challenging to treat. This is usually for three main reasons: Firstly, the inappropriate drug for the particular germ can be used, secondly, treating for a shorter during of time the required and thirdly, using an antibiotic to which the germ is already resistant to. It is not rare however to mistake a different infectious process for typhoid fever. Concerning the blood tests, persistence of antibodies or positivity of the test after treatment does not mean that the treatment was not effective. It might take some time for these antibodies to be cleared from the system. It might be interesting however to get samples of blood and stool, to carry out a stool culture and antibiotic sensitivity test and also a blood culture. the germ could be specifically identified and the antibiotic capable for curing it appropriately administered. Simple blood test to check for hemoglobin levels to be sure its not anemia should not be undermined. Persistence of these symptoms after all these could at some point necessitate the opinion of an infectious disease specialist (infectiologist). It is rare however not to get children treated after following the above mentioned recommendations, especially from my experience. thanks and hope this helps as I wish you the best of health. Kind regards, Bain LE, MD.