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Vomiting, THYPHOID after starting CHLOROQUINE for MALARIA.

Resolved Question:

hello
my brother is diagnosed with typhoid ..earlier doctor suspected of malaria and got him lariago ds (5 day tab) .but as the reports came malaria was negative and typhoid was confirmed .my query is that doctor said to complete the course of malaria ..my brother had taken 3 tab and had to take 2 more chloroquine dose .but from tomorrow i made him discontinue those remaing dose of chloroquine .right now he is on antibiotic azithromycine 500 ,cefixime 200 and ofloxacin 200 and he is vomiting from yesterday .his vomiting started from the day he started chloroquine.

Category: Pediatrician

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Dr. Saptharishi L G
Category: ICU/ Critical Care Specialist
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Expert:  Dr. Saptharishi L G
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Hello,
Thanks for your query at DoctorSpring.com
I am one of the In-house physicians at DoctorSpring.com
May I know how old is your brother before we could forward your query to the specialist doctor?
Please revert back
Thanks


Patient replied :

my brother is 14 years old


Expert:  Dr. Saptharishi L G
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Hello,
Thanks for your query at DoctorSpring.com
Dear friend,
If you say he is being diagnosed with typhoid, malaria, etc, I won't be able to help you.
Typhoid is not treated with the combination of antibiotics that you have mentioned. It is also not clear as to why antimalarials have been used empirically. Generally, there is a bedside diagnostic test for malaria that gives you result within 5 minutes. Hence, no patient is empirically started on chloroquine.
Please explain the patient's symptomatology in detail. Explaining what problems the patient had in detail would help me analyze the case and reach a diagnosis. Only then will I be able to help you with therapy. Also attach all reports that you have obtained. Simply stating that he tested positive for typhoid is insufficient. Different tests have different accuracies and each detail is important.
Regards
Dr. Saptharishi L G

Dr. Saptharishi L G
Category: ICU/ Critical Care Specialist
Experience: 
Senior Residency: DM,  Pediatric Critical Care, PGIMER

Residency: MD, Pediatrics, Postgraduate Medical Education & Research (PGIMER), Chandigarh, 2013

Internship: JIPMER, 2009

Medical School: MBBS, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, 2008
Dr. Saptharishi L G and 4 other Medical Specialists are ready to help you

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