Typhoid & Parathyroid fevers

Investigations

Blood culture is the most important diagnostic method in a sus-

pected case. Blood count typically shows leucopenia. The faeces

will contain the organism more frequently during the 2nd and

3rd wks.

Management

Ciprofloxacin (500 mg 4 times daily) is the drug of choice, although resistance is rising in India and the UK. Ceftriaxone or azithromycin

is an alternative. Treatment should be continued for 14 days; pyrexia may persist for up to 5 days after the start of specific therapy.

Improved sanitation and living conditions, and vaccination of travellers reduce the incidence of typhoid. davidson