Conversation: The conversation between human and AI assistant.
[|Human|] earlier i suffered from typhoid on sep 2010.i took medicine & injection for that.i was cured.but something i felt like fever it is mild.for 2 days i am suffering from fever i take norflox but still i am not cure i feel sometime hot & sometime cold.am i suffering from typhoid again?
[|AI|]  Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor.  I have read you question completely, I understand your concern and will try to help you in the best way possible. The kind of symptoms you have mentioned, makes Relapse of the Enteric fever aka typhoid, a most probable diagnosis, however it would have been more appreciable if we had known whether, any history of altered bowel habits, or any suspicion of a concomitant infection, whether urinary or respiratory exist or not? It is quite possible to have relapse of Enteric fever, because it is one of those infections which has notoriously high tendency to go into chronic or relapsing patterns. Also, that partially treated Enteric, or leaving the antibiotic once fever is settled, increases the likelihood of such incidences. The most reliable test would have been a blood culture, even typhoon has also got a lower specificity to the Enteric fever. An associated decrease in WBC count along with some other cell lines in your CBC, can also rise the possibility of typhoid.Also, that, the screening tests like urinalysis, Chest X-ray and other baselines' biochemistry, monitoring your kidney and liver status, to essentially rule out possibility of any other common systemic infection. Here I would also like to suggest, that you may need a repeated Lots monitoring, as enteric fever has got the tendency to have complications like Enteric hepatitis. If you were my patient, I would have recommended you tab. Ciprofloxacin 500 twice daily for 10-14 days, even if the fever subsides, to avoid chronicity of the infection. If no response is achieved in 5-7 days, then addition of azithromycin 250 mg twice daily to the current regimen has shown to increase the efficacy and better clearance rates. Along with that, use of antipyretic, and motility agents, like risperidone would have been more comforting. If god forbid, the infection persists, and there is no other signs or laboratory findings suggestive of any other organ system involvement, based on the history, Indoor treatment with IV ceftriaxone 2g twice daily would have been the next relevant thing to do, but I hope the things will not go to that extent, hopefully. Stay connected to your doctor and keep on seeking regular advice and checkups. I hope this answered your question. If you have more queries I am happy to answer. Otherwise, rate and close the discussion