What causes fever and shivering while on treatment for enteric fever?
Patient: Hi My father (64 yrs age) is being treated for typhoid/enteric fever. The widal test yesterday showed -ve values for the typhi bacteria. Today all of a sudden in the afternoon he had very heavy shivering, he was having mild fever in the morning (99 deg F). What could be the reason for this renewed shivering? he's currenlty being treated for urinal infection. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Negative widal test is suggestive of cured typhoid infection.As you are saying that he is currently on the treatment for urine infection, this spike of fever is because of the urinary tract infection.I advice you should go for urine culture and sensitivity. This will guide us regarding the possible pathogen and its treatment protocol. Take the treatment under your doctors guidance.Please take plenty of water, this will flush the organisms from the system. Please maintian good local hygiene as this can be help ful in the treatment.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.