Question: Dear Doctor
MILD FEVER SINCE 11TH MARCH
I am here under giving details of the case history of my wife .
She is 68 year old.
Existing conditions : Diabetes II since 2005.The diabetes is under control. fasting 94 and pp 120.HB A1 c 5.8. Taking Glycomet 500 mg twice a day and Ecosprin Av 75 once

Hypothyroidsm since 2013 .TSH 5.00 Takes Thyronorm 50 mg .

Mild hyperttention since 1996. It is under control 120/80.Takes stamlo 5 mg once a day
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Intially she has temparature on 11th march with 102 degrees with cough (flum)
from next day the temparature came down to 101 and then to 100.
After 4 days my doctor brother prescribed livofloxocin 500mg once a day for 5 days besides dolo 650 twice a day
Later after completion of 5 days when the temparature did not come down he has precribed Azithromycin 500 mg once a day and dolo 650 twice a day.
Even then the fever did not come down to normal.

Then on 22/3 , I took her to my family doctor.He has prescribed chest X ray and blood picture including Widal test.Except Esonophyils which is 12.7 and ESR 16, all other eparameters are normal. Xray is normal.

Widal: S.Typhi Antigen O 1 in 80 dilutions
S.Typhi Antigen H 1.in 80 dilutions
S.Paratyphi A less than 1 in 20 dilutions
S.Paratyphi B less than 1 in 20 dilutions
He said that there is mild typhoid and gave Mahaflox 500 mg,Yogut,Sulfomag and hetrazon 100 mg.But the fever did not subside.

Again after one week on 28/3 i took her to the doctor again since the fever is still coming in the evenings.He has prescribed Ceftas -AZ ,Dorolac and zincovit. The medicines are yet to be taken upto 1st april.
The fever pattern is as under

7 Am 12 pm 5 pm
23/3 Normal 99 100
24/3 Normal Normal 99
25/3 Normal 100 99.2
26/3 subnormal 99 99
27/3 Normal Normal 100
28/3 Normal 99 99
29/3 Normal Normal Normal
30/3 Normal 100 yet to be taken

She is having normal in the mornings and at times in the after noon and 100 in the evenings.

She has no other complaint.No vomitings or vomiting sensation, no pain in the stomach, no diarrohea.Her appetite is good except some weakness. She is taking her normal food and avoiding oils and fats.
kindly give your valuable advise.When this fever subsides altogether. Am i going in correct direction?
I am very much worried .In her child hood she had paratyphoid once. What precautions if any to be taken?

Doctor if you require any further info, kindly inform me. I shall furnish. Thanking you Sir

Dear Doctor,
i thank you for your kind reply. yesterday morning and today morning also she had 99 temparature at 7 am.The whole of yesterday it is 99.
The antibiotic treament comes to a close tomorrow morning. After that i shall continue Zincovit as you suggested and if the fever crosses 100 i shall give paracetamol as you said.
Does the hetrazon cause a mild rise in body temparature? Because my physician suggested 100 mg hetrazon thrice a day for 20 days. she is taking from 22nd march. Are there any precautions to be taken by the diabetics in the case of typhoid? kindly advise

Dear Doctor,
The antibiotics are over .she is taking hetarazan only. Ashe you have advised i have been checking blood glucose levels both fasting and pp. they are normal. 91 and 130.Noting fever 5 times a day.Today it is normal 99 99 normal normal.Can i give dolo650 if the fever crosses 100?.she is feeling weak.She is taking A to Z capsule and taking Ensure in the moning.Kindly advise