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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Persistent Typhoid Be Treated?

my daughter about 10 yrs having high fever since 5th june 2011. i could know it is typhoid. i got bl test on 7th confirming typhoid and paratyhi present. treatment started with cefuroxime 250 m bd. no results seen till 13th june. then cefixime 100 and ofloxacin 200 started on 14th till 26th june. even intensity of fever lowered but on 26th fever was 101.5 deg centegrade. hemoglobin is 10.2%.now amoxycillin and clavulanic combination along with ofloxacin 200 is started since 26th night. child is not cheerful and fever is not coming down.it is now more than 22 days. i am worried. child s weight is 30 kgs.approx. pl advice
Tue, 1 Dec 2015
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Pediatrician,  's  Response
Hi,
Welcome to HCM.
Your child has fever for 22 days and you have given cefuroxime for 7 days followed by cefixime and ofloxacin and now child is on amoxyclav and ofloxacin and still child has fever.
In typhoid, complications of gastrointestinal system starts appearing in 2 to 3 weeks and central nervous system complications in 3 to 4 week.
This is an alarming situation.
You should immediately admit the child in hospital.
Intravenous antibiotics and blood culture will guide further treatment.
I hope this will help you.
Take care.
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How Can Persistent Typhoid Be Treated?

Hi, Welcome to HCM. Your child has fever for 22 days and you have given cefuroxime for 7 days followed by cefixime and ofloxacin and now child is on amoxyclav and ofloxacin and still child has fever. In typhoid, complications of gastrointestinal system starts appearing in 2 to 3 weeks and central nervous system complications in 3 to 4 week. This is an alarming situation. You should immediately admit the child in hospital. Intravenous antibiotics and blood culture will guide further treatment. I hope this will help you. Take care.