Hello doctor. I am a teenager who has been having continous fever for the last 12 days. I have body pain, weakness, slight nausea and headaches along with pain and tenderness in the stomach. I recently did a liver function test which said i had extremely high levels of SGPT and SGOT. also my liver and spleen is enlarged. The widal test came out negative. But my doc said it cud still  be typhoid. What do you say?Also i have the urge to urinate frequently and a urine routine said i have epithelial and pus cells in my urine.
Hi, Thanks for writing in Chat Doctor. The features which you have described are strongly suggestive of typhoid fever. Continuous fever with headache is typical of typhoid. Many a time it takes time for the Tidal to come positive. No time should be wasted in starting treatment. I would suggest that you should start treatment for typhoid at the earliest before complications supervene. The other tests that should be done are viral markers for hepatitis just to be on the safer side. I hope this answers your quarry. Regards