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High temperature since 5 days, took widal test. Can a doctor advise if it shows typhoid ?

My son (6 years) had high temperature since 5 days. I gave him paracetemol for 2 days. Though the fever subsided after 2days, he had temeprature again yesterday evening. I was asked to take the WIDAL test and other blood tests.He does not have temperature today. The test report shows the following. S.Typhi (O): positive 1:160, Styphi (H) positive 1:40,S.Paratyphi A and B negative 1:20. Hb 13 g/dl, RBC count: 4.98 millions/cm, platelet : 2.24 lakhs/cmm ESR: 1 hour 22 mm. Please advice if this could mean Thyphoid. Kindly advice future course of action. Thanks AAA
Asked On : Sat, 13 Oct 2012
Answers:  3 Views:  53
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Pediatrician 's  Response
good evening , by the reports it looks like he is having typhoid and requires medication as per ur doctors plan , either oral or through intravenous route in a hospital. i would suggest u to get his urine tested for infection and a repeat platelet count and a WIDAL test if the fever is persisting despite the treatment.
Answered: Sat, 13 Oct 2012
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Pediatrician, Cardiology Dr. Pradeep Kumar's  Response
Widal test with titre 1/160 for S.Typhi O is positive. A single raised titre is of little value and a rising titre of four fold suggests typhoid. But as child is having fever with raised titre treatment should be given if there is no other cause for fever. So I would suggest you to consult a physician if fever recurs to rule out the other causes of fever and if needed then get a prescription of oral antibiotic ( cefixime) for typhoid. Maintain a temp chart and give paracetamol to control the fever.
With regards
Answered: Sun, 14 Oct 2012
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Pediatrician, Neonatology Dr. Uma Rajah Ananth's  Response
Hi Gayathri,
The blood test is suggestive of typhoid infection.
Go to your pediatrician and start treatment without delay.
All the best
Answered: Sat, 13 Oct 2012
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