Enteric Fever Treatment in India

James Reddy, a 28-year-old software engineer,...

James Reddy, a 28-year-old software engineer, had just returned from a two-week business trip to South Asia. A week later, he developed a persistent high-grade fever that spiked in the evenings, accompanied by a severe headache, profound fatigue, and a loss of appetite. He initially dismissed it as a bad flu, but when a faint, rose-colored rash appeared on his abdomen and he began experiencing abdominal pain and constipation, his partner insisted he go to the ER. His doctor, suspecting a travel-related illness, recommended blood cultures and a Widal test to confirm Enteric Fever (Typhoid). James was admitted to the hospital and started on intravenous antibiotics. The first few days were difficult; the fever was relentless, and he felt weak and anxious, worried about a prolonged illness affecting his new project at work. After 48 hours, his blood cultures confirmed Salmonella Typhi. As the targeted antibiotics took effect, his fever broke. He was discharged after five days to complete a 14-day course of oral antibiotics at home. Over the next two weeks, his strength gradually returned, though he was cautioned to eat a bland, easy-to-digest diet. Emotionally, he shifted from initial denial and frustration to relief and gratitude for a clear diagnosis. The experience made him much more conscientious about food and water safety during future travels.