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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Typhoid

Hi ,My mom was diagnosed with typhoid and UTI.She was prescribed anti biotics ,she had had them for 3 weeks now.She got her test done ,doc said that UTI is gone .but Typhoid traces are still there.and gave her another week fo anti biotics.She is still getting fever of 99.2-99.4.Is she on the right path .Or she should refer to another doctor? .Please suugest
Mon, 14 Jul 2014
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General & Family Physician 's  Response
Hello
As you mentioned that your mother is having typhoid fever and not responding to treatment .
You didn't mention the drugs , used for treatment so very difficult to say some thing about drugs.
In resistant type of cases a DEXAMETHASONE treatment should be considered .In Jakarta in chloramphenicol-treated patients, treatment with dexamethasone ( a single doseof 3 mg/body followed by 8 doses of 1 mg/ kg body weight given every 6 hour).
This treatment was only for very severe cases and provide instant relief.
But in your mother case fever may be due to .
1 Tuberculosis , so get in X RAY chest as well sputum for A F B , blood for c b c& es r.
2 Jaundice may be the another reason as I have seen oin my so many patients that prolong fever is due to jaundice so get all test for HBASG A B C D E.
3 Another reason of this prolonged fever may be renal failure . As there was U TI and this may be the reason . Diagnosis can be confirmed by urine culture and sensitivity test . Also get in M R I of both kidney.
However there are so many other reasons of such fever . But in my opinion consult another physician and get his opinion ( 2nd ).
Good luck.
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Suggest Treatment For Typhoid

Hello As you mentioned that your mother is having typhoid fever and not responding to treatment . You didn t mention the drugs , used for treatment so very difficult to say some thing about drugs. In resistant type of cases a DEXAMETHASONE treatment should be considered .In Jakarta in chloramphenicol-treated patients, treatment with dexamethasone ( a single doseof 3 mg/body followed by 8 doses of 1 mg/ kg body weight given every 6 hour). This treatment was only for very severe cases and provide instant relief. But in your mother case fever may be due to . 1 Tuberculosis , so get in X RAY chest as well sputum for A F B , blood for c b c& es r. 2 Jaundice may be the another reason as I have seen oin my so many patients that prolong fever is due to jaundice so get all test for HBASG A B C D E. 3 Another reason of this prolonged fever may be renal failure . As there was U TI and this may be the reason . Diagnosis can be confirmed by urine culture and sensitivity test . Also get in M R I of both kidney. However there are so many other reasons of such fever . But in my opinion consult another physician and get his opinion ( 2nd ). Good luck.