Question of the Week

Question :
Posted On : 01 Jul 2019
A 10 yrs old patient is having a fever for 10 days. His widal test salm typhi o titers are 1,320. Tlc 15000. MP negative, urine nad. The patient was given inj Ceftriaxone and Azithromycin for 7 days but fever still persisting. What could be probable cause?
Expert Answer :
Does the child have hepatosplenomegaly or any clinical findings? What is the blood culture and chest Xray? Get him tested for brucellosis, and also an autoimmune disease. More details are required to comment further.
Answer Discussion :
trusha joshi
resistance typhoid
2 years ago
2 years ago
Fredrick Sinyinza
child may not have typhoid..look for other causes
2 years ago
vidya bhushan
widal test could be false positive. look for other possibilities like liver abscess, hidden tuberculosis, even a trial of antimalarial, etc.
2 years ago
Organism resistant to Ceftriaxone
2 years ago

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