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Typhoid/UTI- Lymphocyte 70,Neutrophil 25
I am suffering from typhoid and diarrhoea from more than one and half months which got diagnosed 20 days back. Yesterday, I got diagnosed my urine test done since I was feeling itching & burning sensation. Urine RBC is 2-3 & epithelial cells is 25. I am worried about the sudden change in my blood profile. Last week Neutrophils were 58 and today 25. Last week Lymphocyte were 37 and now 70. Platelets reduced from 1.60 to 1.10. ESR from 11 to 20. I have been taking cefixime & ofloxacin for typhoid but struggling with dehydration due to diarrhoea. Kindly suggest and help with your opinion. Thank you!
Answers (4)
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Your blood tests are a result of the ongoing infection.
Continue the antibiotics as recommended.
Take plenty of ORS and fluids.
Even then if you are have itching and burning, repeat urine routine and get culture sand sensitivity of urine done.
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Chronic diarrhoea with salmonella is a risky combination. Reversal of N:L ratio in this can be a sign chronic infection. Salmonella for more than 4 weeks and cause AKI and TID, in that situation epithelial cells can be found on urine routine examination. Raised ESR and thrombocytopenia can be secondary to ongoing inflammatory reaction.
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Since things can complicate further, the most dangerous being bowel perfortaion, I'd suggest to get admitted and rehydration acc to fluid deficit protocols. Get complete blood electrolytes checked, abdominal imaging may be required. Antibiotics should be stepped up. I'll personally recomment parenteral Ceftriaxone with Azithromycin combination.
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Dr. Soudip Saha
General Physician
5 yrs exp
South 24 Parganas
Need detailed history and evaluation
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take online consultation for treatment
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Dr. Adarsh Lalwani
General Surgeon
11 yrs exp
Nagpur
Need detailed history and investigations.
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Consult online for treatment and queries ..
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.