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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Typhoid During Pregnancy?

Hi I am 30 years old and when I was pregnant I got typhoid for the first time and within 3 years this is the 4th time I have had typhoid.. Can u please suggest... I was even hospitalized this time for 7 days and was on drips and antibiotics then I didn t have fever after coming back from the hospital I still have fever and it s not going wat to do? M so worried
Mon, 21 Dec 2015
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General & Family Physician 's  Response
Thanks for asking at healthcare magic I read your question and I understand your concern.
Pregnancy is an immunocompromised state..
Hence all pregnant ladies are susceptible to infections
Most common are Urinary tract infection, Rickettsial infections, mastitis and bacterial sepsis; viral illness common in winter season..
If you are feeling febrile despite seven days hospitalization... so it means you are either under treated or you are resistant to those antibiotics you are treated with or you have suffered new infection..
You may have viral illness.. the best way was that you had a blood culture, urine culture and were treated according to local sensitivity patterns before starting empirical treatment..
I would advise you to have a fresh blood count
Urine detailed examination.. and continue your medication for at least fourteen days as sometimes patient is febrile for 5-7 days despite fever .. and add azithromycin to your treatment for at least five days if you are on a single drug.. Take Tylenol for fever relief
As you have recurrent enteric fever..
Your primary health care provider can offer you typhoid vaccination after your pregnancy is over and twenty eight days course of oral antibiotics like amoxicillin or cholycestectomy if you have gallstones and treatment for kidney stones if you have.. that causes recurrent enteric fever..
Adopt good hygienic measures..
Hope it helps best
Don't forget to close the discussion at healthcare magic and to rate this answer
Take your best care
Regards
Dr Ejaz
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How To Treat Typhoid During Pregnancy?

Thanks for asking at healthcare magic I read your question and I understand your concern. Pregnancy is an immunocompromised state.. Hence all pregnant ladies are susceptible to infections Most common are Urinary tract infection, Rickettsial infections, mastitis and bacterial sepsis; viral illness common in winter season.. If you are feeling febrile despite seven days hospitalization... so it means you are either under treated or you are resistant to those antibiotics you are treated with or you have suffered new infection.. You may have viral illness.. the best way was that you had a blood culture, urine culture and were treated according to local sensitivity patterns before starting empirical treatment.. I would advise you to have a fresh blood count Urine detailed examination.. and continue your medication for at least fourteen days as sometimes patient is febrile for 5-7 days despite fever .. and add azithromycin to your treatment for at least five days if you are on a single drug.. Take Tylenol for fever relief As you have recurrent enteric fever.. Your primary health care provider can offer you typhoid vaccination after your pregnancy is over and twenty eight days course of oral antibiotics like amoxicillin or cholycestectomy if you have gallstones and treatment for kidney stones if you have.. that causes recurrent enteric fever.. Adopt good hygienic measures.. Hope it helps best Don t forget to close the discussion at healthcare magic and to rate this answer Take your best care Regards Dr Ejaz