Dear XXXXX
Enteric fever includes both typhoid fever (caused by
Salmonella typhi) as well as
paratyphoid fever (caused by Salmonella paratyphi A, B and C). In practice it is usually interchangeably with typhoid fever as paratyphoid infections are less common, less severe and difficult to differentiate from typhoid.
In typhoid fever usually the laboratory results show following:
•
Thrombocytopenia (Low
platelet count)
• Leucopenia (Low WBC count) with
Lymphocytosis (High Lymphocytes count)
Best serological test to confirm typhoid is called the Widal test which gets positive only after 5 to 7 days of fever.
Kindly note usual clinical presentation of typhoid fever is as follows:
• Typical step –ladder pattern fever (i.e gradual rise in first week)
• Headache, bodyache, anorexia, myalgia may also be present
• Abdominal pain
• Dry and coated tongue
• Rashs on trunk after 7 to 10 days.
Hope that answers your query
Wish your daughter faster recovery
With Best Regards
Dr Mushtaque