Suggest Treatment For Typhoid Fever In Pregnancy

Brief Answer:
Treatment of the mother is best remedy

Detailed Answer:
Hello XXXXXXX and welcome,

I understand that you wife has typhoid fever and she is 4 weeks pregnant. Kindly clarify the date of the last menstrual period and the dates when she had the first episode of fever and for how long did she have fever as well as investigations and treatment so that I may correlate things better.

As of now it seems that what you mean to say is that the widal titre is decreasing. If she has received the treatment and does not have any fever now and the titres are falling then it indicates that she is recovering. I am more interested in knowing if she was already pregnant when she had the fever and what treatment was given as these will determine the outcome. If she was pregnant at the time of the typhoid infection, the baby may already have been affected and there is little we can do now.

As such there are no ways to prevent infection of the baby except to treat the mother and bring down the bacterial load. This I assume has already been done in your case. So as of now, the only approach is wait and watch for the babies growth and other pregnancy parameters to see if they are following the normal pattern. If they are, then there is no concern. A TIFFA scan at 18-20 weeks needs to be done to rule out any anomalies that may have occured due to the fever. However if the fever was treated before she got pregnant then usually there is no harm to the baby.

Kindly provide the required infermation so that I may help you better.
Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist

[ please note that you are allowed to ask about 1-2 follow up questions and do not need to pay extra for that. I am informing this as sometimes patients are reluctant to ask follow up questions thinking that they will have to pay extra]

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Brief Answer:
No need to worry

Detailed Answer:
Hello and welcome,

She has had the fever a long time ago. So the widal test is for antibodies [ bodies defence against the typhoid] and it may remain elevated even after the infection is over.

As of now, start her folic acid tablets and micronised progesterone after a gynec evaluation. Also get a physician opinion and a blood and stool test for typhoid culture to see if any residual typhoid infection is there. If the tests are negative then there is no need to worry about typhoid at all.

The unwell feeling and leg pain may be due to pregnancy. They occur due to increasing hormones and remain for the first three months.

Do not worry. Get the test done and I do not think that there is any need to worry at all now.

All my best wishes are with you.

Take care.
Dr Madhuri

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