How can typhoid be cured?

Question

Hello doctor,

My wife is 70 years old and was diagnosed with typhoid and was given Ceftas 200 TDS for 21 days and Argex 500 OD for seven days. The Widal test showed typhi O: 1:160, typhi H: 1:160, typhi AH: 1:80, and typhi BH: 1:40 after 10 days of treatment. The treatment was continued as above and after 2 to 4 days the temperature came down to 98.0 to 98.8. Now five days after completing the medicine course we again got her Widal test and the results are the same as were in the first test. Now, I would like to be advised on how to treat her weakness and is there any treatment to kill the bacteria causing the fever and whether should we go for vaccine inoculation once more now.

Answer 1

Hello,

Welcome to icliniq.com.

I guess, she is not having a fever now. If fever has settled down then it means all bacterias are killed. These test may remain positive for some time or may be lifelong, so, not to chase the reports. Weakness will be there for few weeks. She should have a healthy diet and may have multivitamin supplements like syrup Zincovit two tablespoon once a day for two weeks for early recovery.

Vaccination is recommended to repeat every three to five years, so she may take another course of vaccine as she is getting typhoid frequently.

Answer 2

Hi,

Welcome back to icliniq.com.

Yes, certainly she should have iron supplements. She should have tablet Fericip XT (Ferrous ascorbate, Folic acid) twice a day after meals till Hb (hemoglobin) is 12 and once a day after that for next six months for replenishing the stores. Low hemoglobin also contributes to weakness.