What Type Of Typhus Treatment Goes Back To What Specialist?
I am 18 years old, at the end of 2017 I have been hospitalized 2x because of typhoid, in 2018 I have been hospitalized 3 times because of typhoid. And now the results of my lab check, I was typhoid. I have already consulted the closest general practitioner, he was very afraid to give me a new drug because I often get typhoid. So I was given the same medicine as before. I really want to see a specialist, what kind of specialist should I go to?
Hello Nurwahida, thank you for asking.
First, it must be ascertained whether the cause of typhoid fever often recurs. Chances are you are very often exposed to Salmonella typhii bacteria from food and drinks or eating utensils that are not clean. Alternatively, your immune system is less than optimal. You should also consider whether the type of inspection used. If all this time widal examination has been used, several possibilities can occur, namely:
Widal results are not necessarily positive. In some cases that are stated as typhoid fever, symptoms often lead to typhoid fever, but the widal results are not conclusive. Should be 4 weeks after the first widal test, a second widal test is performed to see the rise in titre. If the titer increases at least 4x times the first widal, then you are positive of typhoid fever. positive widal results can persist positive for months after the person is declared cured. These positive widal results do not cause re-infection, but are often mistaken for acute typhoid fever. false positive widal results. Widal has been abandoned because it is less specific, so often infection by other bacteria shows positive results such as typhoid fever. You can consult with a specialist in internal medicine, tell a complete and systematic about your history of illness. Your doctor may do a tubex test to look for salmonella typhii immunoglobulin. Tubex is considered more sensitive and specific ways to diagnose typhoid emam. Another method is ELISA, but this method is expensive and is generally only done when tubex test results are dubious. In the meantime, you should adjust your diet, avoid eating food sold outside, washing your hands every time you want to eat, make sure your nails are always short. Hopefully this answer can help. Regards.