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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Typhoid. On Ciproflox With Oflaxin And Then Pulmosef. Widal Test Shows Negative. Temperature Rise Still Persistent. Treatment?

sir i was detected with typhoid on 8th april at that moment the temp was 99 . then i took antibiotic for 6 days (combination of ciproflox with oflaxin) then after that again the temp is 99 after exertion of in the evening. then i again consulted doctor then i took pulmosef for 5 days . after that widal test was negative.now again the temp rises upto max of 99 under the same conditions. pls suggest what sholud i do
Mon, 6 May 2013
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Infectious Diseases Specialist 's  Response
hi
A warm greetings to hcm
Can you tell how was it diagnosed, clinically or by blood culture or widal or any other test?
Widal is not a very good test in endemic country like India. If at all, it is typhoid, there is chance that it is a quinolone resistant strain, which is of course, not uncommon in India.
Go to a doctor practising infectious diseases and get evaluated for other possibilities of fever, If you continue to develop fever. It can be just a viral fever or a heat stroke because you have a history of exertion. your evaluations may include some other lab evaluations also.

In typhoid, the common antibiotic practice in India is Oral cefixime as the first line drug.
Take plenty of water with added electrolytes.

All the best.
Get well very soon
Contact us in case any querries.
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Having Typhoid. On Ciproflox With Oflaxin And Then Pulmosef. Widal Test Shows Negative. Temperature Rise Still Persistent. Treatment?

hi A warm greetings to hcm Can you tell how was it diagnosed, clinically or by blood culture or widal or any other test? Widal is not a very good test in endemic country like India. If at all, it is typhoid, there is chance that it is a quinolone resistant strain, which is of course, not uncommon in India. Go to a doctor practising infectious diseases and get evaluated for other possibilities of fever, If you continue to develop fever. It can be just a viral fever or a heat stroke because you have a history of exertion. your evaluations may include some other lab evaluations also. In typhoid, the common antibiotic practice in India is Oral cefixime as the first line drug. Take plenty of water with added electrolytes. All the best. Get well very soon Contact us in case any querries.