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Treatment for consistent fever - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
Doctor :   hi
User :   Hi
Doctor :   How can I help you?
User :   my wife had typhoid 3 months back
User :   it was tested postive for typhic
Doctor :   ok please proceed with your query\
User :   it came down after 3 weeks
Doctor :   ok
User :   all tests showed -ve after that
User :   but she still continues to have temp of 99-100F consistently
User :   since then
User :   even now
Doctor :   ok
User :   i am consider
Doctor :   Usually typhoid is acute feevre
User :   i am concerned if there it is something hidden
Doctor :   But when it was treated , does she relieved of the fever
User :   or it's not completely cured
User :   when she was cured here temp was between 99-100
User :   and continues to be so since then
Doctor :   Was the blood culture , positive for Typhoid
User :   there typhoid test that was done in begining
User :   which was positve
User :   there was no culture done
Doctor :   Widal might be positive
User :   stool culture was done at the end whihc was -ve
Doctor :   but culture may be negative
Doctor :   ok
User :   ya widal was postive but blood culture was not done
Doctor :   Did u comparethe widal titers from then with recent ones
User :   yes
Doctor :   are they in normal range and decreases now?
User :   they are in decrease range now
User :   should do some culture now ?
Doctor :   do u have values
User :   one sec
User :   right now its 1:60
User :   earlier it was 1:40
Doctor :   What was it 3 mo ago
User :   1:40 before the treatment
User :   1:60 after treatent
User :   they was all done in spe
User :   in septemebet
Doctor :   that is unsual
User :   u mean continued temperature ?
Doctor :   No the titers are unsual
Doctor :   In the acute stage of fever
Doctor :   The titers must be high
Doctor :   and they should decrease by 4 foulds
Doctor :   let us if it were 160 initially
Doctor :   it shoiuld be 40 now
Doctor :   Titers more tha 1:160 are suggestive of typhoid infections
Doctor :   because it were only 1: 40 it may not be typhoid
User :   i dont have the 1st reading with me
Doctor :   OK
User :   but the report said +ve for typhy
User :   also a scan was done at that time
User :   which showed increase echolevels in liver
User :   mild ileus over the abdomen with free fuluids
User :   moderate enlargement of spleen
Doctor :   ok
Doctor :   They are not sepcific
User :   ok
User :   what do u suggest we do now ?
Doctor :   Repeat the cbc , blood culture, widal test, Chest Xaray
Doctor :   Tb test
Doctor :   Rhematoid Factor, ANA
Doctor :   Does she has any other symptoms other than fever?
User :   no she has no other symptoms
User :   ok all of these test were done a month after the treatment and they all turned out to be -ve
Doctor :   if any thing abnormal, chat with me again
User :   ok
User :   if there is nothing ?
Doctor :   You can send the previous resulsts and updated results
User :   ok thanks Doc
Doctor :   I will review and reply
User :   ok
Doctor :   If they are negative
Doctor :   You need some more tests.
User :   ok
User :   thanks doc will get back
Doctor :   los get malaria test
User :   ok
Doctor :   *also get malaria test
User :   got it
Doctor :   Dengue antibodies
User :   ok anything else ?
Doctor :   I will recomme Hepatiss B , C, E
User :   ok
Doctor :   Ok then
User :   ok then thanks doc
Doctor :   Do u have any other questions?
User :   will get back with results
User :   that's all
Doctor :   OK
Doctor :   Bye
Doctor :   Good night
User :   good night
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