S.typhi o 1:80 positive  and esr is high

2020-08-28 19:08:58
My grandmother suffering from fever(from 5days). Breathlessness from 4 years and chronic light dry cough from 1year. Blood test report: S.typhi O is 1:80(+), S. typhi H is 1:40(+), esr is 65mm/1st hour , hb is 10gm, TWBC is 5200 cells/cumm, TRBC is 4.2 millions/cumm. Blood report files attached bellow. Is it typhoid or not. Please tell me the problem and solution. Thanking you
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Answers (4)

Start your grandmother on antibiotic T.azithromycin 500 once daily. To be diagnosed a typhoid fever, widal titre should be 1:160. Since due to pandemic if fever continues for more than 5 days get checked for covid also.

Answered2020-08-28 20:26:58

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Do a confirmation test Typhi Dot IgM If it comes positive then appropriate drugs can be given to her

Answered2020-08-28 21:26:23

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Problems 1. Elderly Pt having acute fever with normal counts. Probably a viral infection. Beyond this presumption you need to consult me online

Answered2020-08-28 20:25:05

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Kindly consult online

Answered2020-08-28 19:29:48

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