Dr. Prashant Kumar Singh
Pediatrics
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Patient's Query
Hello doctor,
My 10-year-old daughter was diagnosed with typhoid using a widal test five years ago. The temperature varied from 98.8 to 100 degrees Fahrenheit. She was given one and a half tabs of taxim200 twice daily for 14 days after a few days. The temperature fluctuated between 98.6 and 99.7 degrees Fahrenheit throughout the medication. Another doctor gave her an Efectal (ceftriaxone) injection of 1 g for four days after ten days, but her fever stayed between 98.6 and 99.6. After a few days, the doctor stopped all medications and replaced them with Betonin syrup. Despite a healthy diet, her fever presently swings between 98.6 and 99.2 after eighteen to nineteenth days. She is otherwise active, eats well, and has no other issues. Please let me know whether she is free of Typhi bacteria.
Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
Since it is summer, body temperatures tend to be slightly higher than usual. You can ignore temperatures between 97 and 100 degrees Fahrenheit, but temperatures above 100 are a fever. However, if you have any doubts, repeat the Widal and blood culture to determine whether the infection persists. I still advise you to be reassured if the child is active and eating properly.
The following are the most likely causes of an infection:
Viral Infection and the differential diagnosis is most likely to be viral fever.
The investigations needed are:
Widal and blood culture should be repeated with CBP (complete blood picture)
On an emergency basis, I suggest you treat a fever with paracetamol.
Revert with the answer to assist further.
Thank you and take care.
Regards.
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Pediatrics
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