Brief Answer: Repeat all tests in case of no relief. Detailed Answer: Hi XXXX ! Good evening. I am Dr Shareef answering your query. I would like to know reports of the investigations by which she was diagnosed as a case of Typhoid fever. This including reports of any other investigations done so far can be sent to me as an attachment. Typhoid fever does take time to come down, but after five days of Intravenous antibiotics, the descent of the fever should have been a little more. I think one has to wait for another two to three days to see the response. In the mean time, I would suggest you to get your sister's routine blood tests again including CBC, ESR, peripheral smear for malaria parasite, a repeat widal test if it was done earlier along with a Typhi dot test, and a urine routine/microscopic test followed by a culture and sensitivity test if need be. If the fever continue, then you may have to go for a blood culture and sensitivity test as well. If I were her physician, in the history I would also like to ask her about any gynaecological problems she might be having, which might give rise to such fever. In that case I would refer to a gynaecologist for a review. I hope this information would help you in discussing with your family physician/treating doctor in further management of your sister's problem. Thanks for choosing health care magic for clearing doubts on your health problems. Wishing her an early recovery. Dr Shareef.

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