Your situation is understandable and concerning — you have a positive Widal test but no fever (temperature always 97–99°F), and instead you feel dizziness, weakness, body vibration/tremors, which are not typical of active typhoid fever.
The Widal test is not reliable (not gold standard) — it frequently gives false-positive results in India due to previous infections, cross-reactivity, vaccination, or even normal background levels in endemic areas. A single positive Widal without fever, high-grade symptoms (high fever, severe headache, constipation/diarrhea, rose spots), or rising titre on repeat test usually does NOT mean active typhoid.
Your symptoms (dizziness, weakness, vibrations) are more likely caused by:
• Post-malaria weakness (you had P. vivax 4 months ago — recovery can take months)
• Recent overuse of strong medicines (chloroquine + primaquine + now antibiotics + injections) → can cause weakness, tremors, dizziness as side effects
• Anxiety / panic (very common when worried about typhoid)
• Possible nutritional deficiency / dehydration / low BP after malaria treatment
The current treatment (Monocef injection twice daily + Azithromycin 6 days + paracetamol SOS + multivitamin tonic) is over-treatment for a doubtful typhoid diagnosis. Monocef (ceftriaxone) + Azithromycin is strong and usually reserved for confirmed severe typhoid or resistant cases — not for a positive Widal without fever.
Next Steps
1. Stop worrying about typhoid right now — Widal alone + no fever means it is very unlikely active typhoid.
2. See a good physician / infectious disease specialist today or tomorrow (not the medical shop) — take all previous reports (malaria treatment, current medicines, Widal result).
• Ask for:
• Blood culture (gold standard for typhoid — if negative → rules out typhoid)
• Repeat CBC +
CRP/ESR (to see if infection/inflammation is present)
• Repeat malaria smear / rapid test (to rule out relapse)
•
Electrolytes + blood
sugar (dizziness/weakness can be from low sodium/potassium/sugar)
3. Do NOT continue Monocef injection or Azithromycin without doctor confirmation — they are strong antibiotics and can cause side effects (diarrhea,
liver stress, resistance) if not needed.
• Medical shop advice is not safe for injections — they are not qualified to diagnose or decide IV antibiotics
Health Tips
• Right now (safe to do):
• Drink ORS / Electral (1 glass every 2–3 hours) — helps weakness/dizziness
• Eat light food: khichdi, curd rice, banana, coconut water
• Take multivitamin tonic (safe) +
Vitamin B-complex (Neurobion or Becosules) daily — helps weakness/vibration
• Rest completely — no heavy work
• Paracetamol only if temperature >99.5°F or headache
• Body can handle medicines — you are not in danger from the previous malaria treatment + current drugs for a short time, but stop unnecessary antibiotics to avoid side effects (diarrhea, fungal infection,
liver strain).
• You will be safe — this is most likely post-malaria fatigue + anxiety + possible mild viral illness, not active typhoid. Once blood culture comes negative and doctor reviews, you’ll feel much more relaxed.
Please see a proper doctor (not medical shop) today or tomorrow — bring all old reports (malaria treatment, current Widal).
Update me with what the doctor says or new test results — I’ll help explain further.
Take care and rest well