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HomeAnswersGeneral PractitionerdengueWhat is the treatment followed for dengue and typhoid?

How to recover from dengue and typhoid?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ruth Debine

Medically reviewed by

iCliniq medical review team

Published At September 28, 2017
Reviewed AtJuly 1, 2023

Patient's Query

Hi doctor,

My friend is suffering from dengue and typhoid. The test for dengue showed a positive result, and typhoid titer is 1:360. Initially, he was treated with Ceftriaxone injection BD and Paracetomal for five days. But the symptoms got worse. His platelets suddenly got reduced to 21000 platelets per microliter of blood with petechiae and bluish lips. His SGOT, SGPT, and GGT are elevated. He has vomiting and diarrhea. Now, he is treated with fluid replacement, Doxycycline, Paracetomal, and tablet Ursocol.

Answered by Dr. Ruth Debine

Hi,

Welcome to icliniq.com.

Your friend appears to have severe dengue. Kindly do blood cultures for typhoid fever. Blood culture helps us to identify the presence of salmonella, and it guides the choice of antibiotic therapy. The petechiae can occur due to low platelet count. The bluish lips or cyanosis should be evaluated further. You have to do chest X-ray and arterial blood gas test soon. I suggest you do an holo-abdominal ultrasound and a plain abdominal X-ray. Elevation in liver function tests are seen in dengue or typhoid, and the liver can be enlarged in dengue. But intestinal perforation is the catastrophic complication of typhoid fever. I would recommend aggressive fluid resuscitation. If there is any sign of severe bleeding or unstable vital signs, a blood transfusion can be given with fresh whole blood or fresh packed red blood cells. Ceftriaxone always works well for typhoid fever. Identifying the complication is essential. I hope this helps. Thank you and take care. Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ruth Debine
Dr. Ruth Debine

General Practitioner

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