HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Severe Headache And Typhoid Fever

Hi, I am a female, 25, living in Mumbai, India. I have been having severe headaches since past 3-4 days. I got the WIDAL test done for typhoid, and it showed a value of 1.4, which confirmed I got typhoid. I got a temperature of 100+. The doctor has prescribed mahacef plus tablets for 5days. I want to know if it is something very serious. I have never had typhoid before. Also, I stay away from home in a PG. Can my sickness spread to others living with me also? Should I take an off from work and go home for a week or so? Or is it possible for me to get back to work? Please suggest.
Mon, 9 Nov 2015
Report Abuse
Infectious Diseases Specialist 's  Response
Hi,

During the first week of fever, typhoid can be confirmed only by 'blood culture' and not by 'Widal' - which should be used to diagnose typhoid only from the 8th day of the fever. Also, Widal is a test known to give false positive results also.

I recommend that you get a blood culture done for yourself. It will take a minimum of 3 and a maximum of 2 weeks to get the results of the blood culture. The main advantage of this test is that it precisely gives details of the antibiotics which are capable of acting against the Salmonella bacteria that caused your infection. Given the widespread antibiotic resistance that we see in typhoid, it is important that this test is done.

In the interim, until the final results are out, you should start an antibiotic. You can continue with Mahacef itself, which you have already started taking. You can change the course after seeing the results of your blood culture.

I would advise you to take off from work if this is indeed typhoid. Your urine and feces will contain this bacteria. Remember to wash your hands thoroughly after you visit the bathroom every time. You are capable of disease transmission for at least 3 weeks after your complete recovery, as the bacteria keeps getting shedded in your feces until then. You do not have to be paranoid about this. These are general precautions that are adopted for all communicable diseases.

Hope this helps!
I find this answer helpful

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Severe Headache And Typhoid Fever

Hi, During the first week of fever, typhoid can be confirmed only by blood culture and not by Widal - which should be used to diagnose typhoid only from the 8th day of the fever. Also, Widal is a test known to give false positive results also. I recommend that you get a blood culture done for yourself. It will take a minimum of 3 and a maximum of 2 weeks to get the results of the blood culture. The main advantage of this test is that it precisely gives details of the antibiotics which are capable of acting against the Salmonella bacteria that caused your infection. Given the widespread antibiotic resistance that we see in typhoid, it is important that this test is done. In the interim, until the final results are out, you should start an antibiotic. You can continue with Mahacef itself, which you have already started taking. You can change the course after seeing the results of your blood culture. I would advise you to take off from work if this is indeed typhoid. Your urine and feces will contain this bacteria. Remember to wash your hands thoroughly after you visit the bathroom every time. You are capable of disease transmission for at least 3 weeks after your complete recovery, as the bacteria keeps getting shedded in your feces until then. You do not have to be paranoid about this. These are general precautions that are adopted for all communicable diseases. Hope this helps!