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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment To Prevent Typhoid Fever And What Does Normocytic Normochromic RBC Mean?

1. From the last 4 or 5 years i was had a fever(not typhoid fever )frequently after 4 or 5 months. Now i have had a typhoid fever every year from d last 2 years , not a severe typhoid only 1:120. I have never had any typhoid fever before. plz tell me what should i do to prevent it.my all test reports and chest x-rays r normal. 2. In my test report there is a red blood cells shows mild aniso- cytosis. predominantly normocytic normochromic cells r present.What does this line means and tell me d cause and remedy of d RBC problem.
Mon, 5 May 2014
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Infectious Diseases Specialist 's  Response
The WIDAL test reports both the flagellar (H) and the somatic (O) antigen titres. Significant titres to diagnose a patient as having typhoid are:

Salmonella typhi H: 1:200
Salmonella typhi O: 1:100

Your titre is 1:120; if this is the O antigen titre then it is not significant.

Typhoid infection can be prevented by simple measures such as consuming boiled water, thoroughly washing vegetables, fruits before consumption. Typhoid mainly spreads through contaminated food and water.

As far as your red cell count is concerned a normal RBC count would be about 4.5 million/mm3. Mild anisocytosis, normochromic cormocytic cells are normal findings as long as your hemoglobin and hematocrit is within the normal range.
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What Is The Treatment To Prevent Typhoid Fever And What Does Normocytic Normochromic RBC Mean?

The WIDAL test reports both the flagellar (H) and the somatic (O) antigen titres. Significant titres to diagnose a patient as having typhoid are: Salmonella typhi H: 1:200 Salmonella typhi O: 1:100 Your titre is 1:120; if this is the O antigen titre then it is not significant. Typhoid infection can be prevented by simple measures such as consuming boiled water, thoroughly washing vegetables, fruits before consumption. Typhoid mainly spreads through contaminated food and water. As far as your red cell count is concerned a normal RBC count would be about 4.5 million/mm3. Mild anisocytosis, normochromic cormocytic cells are normal findings as long as your hemoglobin and hematocrit is within the normal range.