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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Constant Fever. Taking Antibiotics. Widal Report Shows Reduced BH. Should I Continue Antibiotics?

I have been having constant fever i.e 99.5 (typhoid as per doctor) appx since last 15 days. Despite being on antibiotics for this period, fever hasn't subsided. My first week Widal report showed TO-160, TH-320, AH-80, BH-80. My second report for this week is almost same except BH which has reduced to 40. Since there is no improvement, should I continue with antibiotics? What could be the problem?
Sat, 13 Apr 2013
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Pediatrician,  's  Response
Hi,

Thank you for your query on Healthcare Magic.

In typhoid fever the fever will be low grade in early gays and gradually increases as the days pass that's why the fever in typhoid fever is called 'step ladder pattern fever'.

Widal test is positive and this is suggestive of typhoid fever.

Widal test will be positive for few months to a year even though the infection has ben treated effectively with antibiotics.

Improvements in clinical symptoms like fever, general condition, appetite is important rather than the improvement in widal test.

Continue the antibiotics as advised by your Physician and may requires 10 days to 2 weeks of antibiotic course depending on your symptom improvement.

Take rest, soft and bland diet, and plenty of oral fluids and water to maintain hydration.
If any problem, consult again your doctor.

Repeating Widal test is not required unless your doctor asks.

Hope I have answered your query, if you have any clarification please let me know.

Regards.
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Having Constant Fever. Taking Antibiotics. Widal Report Shows Reduced BH. Should I Continue Antibiotics?

Hi, Thank you for your query on Healthcare Magic. In typhoid fever the fever will be low grade in early gays and gradually increases as the days pass that s why the fever in typhoid fever is called step ladder pattern fever . Widal test is positive and this is suggestive of typhoid fever. Widal test will be positive for few months to a year even though the infection has ben treated effectively with antibiotics. Improvements in clinical symptoms like fever, general condition, appetite is important rather than the improvement in widal test. Continue the antibiotics as advised by your Physician and may requires 10 days to 2 weeks of antibiotic course depending on your symptom improvement. Take rest, soft and bland diet, and plenty of oral fluids and water to maintain hydration. If any problem, consult again your doctor. Repeating Widal test is not required unless your doctor asks. Hope I have answered your query, if you have any clarification please let me know. Regards.