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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fever After Being Treated For Typhoid

Hi, My son is diagonised with Typhoid. In widal tests Typhi H were 1:160. Today is 21 day, He has gone through antibiotic course of oflamac 300 mg daily for 2 weeks. Still he gets fever approx 99.5. Intilayy temperatures has gone high constantly upto 103 to 104. Now all medicines has been stopped. Still he gets fever around 99.5 in nights.
Thu, 26 May 2016
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General & Family Physician,  's  Response
Hi.
I have gone through your question and i understand your concerns. I see such kind of cases in my clinical practice.I would recommend them to undergo urine culture as it has been 21 days so typhoid bacilli would be present in urine at this stage.Additionally, I would recommend them to start Tablet Azithromycin 1 gm OD for 5 days in order to kill drug resistant typhoid bacilli.
I strongly suggest you to undergo CBC ,Peripheral Smear for Malarial Parasite and Liver function tests to rule out other causes of Fever

Wish you healthy life

Regards
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Suggest Treatment For Fever After Being Treated For Typhoid

Hi. I have gone through your question and i understand your concerns. I see such kind of cases in my clinical practice.I would recommend them to undergo urine culture as it has been 21 days so typhoid bacilli would be present in urine at this stage.Additionally, I would recommend them to start Tablet Azithromycin 1 gm OD for 5 days in order to kill drug resistant typhoid bacilli. I strongly suggest you to undergo CBC ,Peripheral Smear for Malarial Parasite and Liver function tests to rule out other causes of Fever Wish you healthy life Regards