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Time of India
06-08-2025
- Health
- Time of India
Typhoid cases rise 65%; docs flag diagnostic test dilemma
Pune: Typhoid cases have risen 65% to 112 in the first half of this year as compared to 68 in the same period in 2024, PMC data showed, with experts highlighting an increase in patients with prolonged illness periods, largely attributed to incorrect diagnostic test prescribed by some medical practitioners. Dr Ameet Dravid, infectious disease specialist from Noble and Poona hospitals, said, "The ideal test for typhoid in the first week is a blood culture, but many practitioners are relying on Widal, an antibody-based extremely non-specific test." Experts said the Widal test could yield false positives for any fever. "Despite its unreliability, Widal remains the most commonly prescribed diagnostic tool for typhoid in the first week of illness. The situation is further complicated by random antibiotic prescriptions even before proper diagnosis," Dr Dravid said, recommending junking Widal altogether. You Can Also Check: Pune AQI | Weather in Pune | Bank Holidays in Pune | Public Holidays in Pune "Blood culture is the gold standard test. It will come positive in 50-80% of cases if done prior to giving antibiotics as its sensitivity goes down drastically once the antibiotic is given," he said. The use of incorrect diagnostic test leads to uncertainty in diagnosis, resulting in physicians prescribing unnecessary stronger antibiotics. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like No annual fees for life UnionBank Credit Card Apply Now Undo "When the non-specific test results are inconclusive, practitioners often treat for upper respiratory tract infections. The fever in such cases lasts for around 20 days, after which patients land up with infectious disease consultants," Dr Dravid said. Dr Piyush Chaudhary, infectious disease specialist at Jehangir Hospital, said, "During monsoon, we see a significant number of typhoid cases. Yet, this infection often gets missed in the first 5–7 days because of empirical treatment without proper diagnostics like blood cultures." He said, "Typhoid typically doesn't cause a rise in white blood cells, so unless there's strong clinical suspicion, it can be overlooked... Blood culture is underused because its results take time, making doctors to rely on Widal test, which is highly unreliable." Dr Awanti Golwilkar-Mehendale, director and chief of laboratory at Pune-based AG Diagnostics, said the choice of typhoid test depended on the stage of illness and prior antibiotic use. "Widal tests aren't ideal for early diagnosis. However, if antibiotics have been taken, blood culture results may be unreliable. So, Widal tests might be used later for confirmation. Typhi IgM tests can occasionally yield false positives, making follow-up testing with Widal or blood culture necessary. Additionally, PCR-based tests can be used for early diagnosis," she said. The experts said Widal could be falsely negative in half of true typhoid cases, and falsely positive in half of those who don't have the disease. "In many referred cases, we found that the illness had already progressed as the initial testing was flawed or the patient was put on antibiotics before any diagnostic workup," Dr Chaudhary said. Dr Mahesh Kumar Lakhe, infectious disease expert at Sahyadri Hospitals, said, "Typhoid is a bacterial infection transmitted through contaminated food and water, typically via the fecal-oral route. Eating raw salads, improperly stored food or undercooked milk products can all lead to infection." Blood culture requires an adequate blood sample (ideally 8-10ml) and the organism may take 4-7 days to grow. "We're seeing a number of referrals with prolonged undiagnosed fever. These are often typhoid cases where diagnosis was delayed because the initial physician didn't suspect it or used unreliable tests," Dr Lakhe said, adding, "This season, we are seeing a higher number of 'Salmonella paratyphi A' cases in our lab-confirmed cultures, which tend to have a more prolonged fever course compared to the classic 'S typhi' strain. " Dr Nikhil Phadke, founder-director and chief science officer at GenePath Diagnostics, said while Widal was commonly requested, it was often done using the slide method, which was less reliable than the preferred tube method. "We get very few culture requests," he said, adding that cultures take time while antibody tests (like Widal) give faster results, which influences clinical decisions.
Time of India
31-07-2025
- Health
- Time of India
Haryana dengue tally reaches 112; Gurgaon most-hit with 24 cases
Gurgaon: The dengue tally has crossed the 100-mark this season in Haryana, with 112 confirmed cases recorded on Wednesday. Gurgaon has emerged as the most-affected district with a tally of 24 cases, followed by Rewari (17), Panchkula (11), Karnal (10) and Jhajjar (6). Of the total 112 confirmed cases, 68 were treated in outpatient departments without requiring hospitalisation, while 44 patients were discharged from health facilities after recovery. To curb the spread, the state govt has classified all vector-borne diseases as notifiable under Epidemic Diseases Act till March 2027. Private hospitals and laboratories must report cases of dengue, malaria, chikungunya or Japanese encephalitis within 24 hours. A network of 27 dengue testing labs, one in each district, is operational, and blood sampling has been extended to primary health centres, especially in high-risk areas. Cost in private labs is capped at ₹600 for ELISA-based NS1 and IgM tests. The govt is providing free single donor platelets (SDP) to dengue patients in public hospitals. For those in public facilities requiring SDP from private blood banks, the state covers the cost. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Illinois Consultants Guide Disability Applications Disability Benefit | Search Ads Learn More Undo Over 1,000 beds have been reserved for dengue patients across civil hospitals and public health centres (PHCs) or community health centres (CHCs). Fogging operations are in full swing, utilising more than 5,600 hand-operated and 45 vehicle-mounted machines in both urban and rural areas. Larval source reduction campaigns are conducted door-to-door, and Gambusia fish, which consume mosquito larvae, have been released in thousands of waterbodies to control breeding. You Can Also Check: Gurgaon AQI | Weather in Gurgaon | Bank Holidays in Gurgaon | Public Holidays in Gurgaon Despite these measures, officials emphasised the importance of public cooperation. "Aedes mosquito that spreads dengue breeds in clean, stagnant water such as in flower pots, roof tanks, unused coolers and discarded cups," a senior official said, adding that the real fight is at the household level. The state has declared July as anti-dengue month, and Sundays have been designated as "dry days" to encourage residents to empty and clean water containers weekly. Over 2,400 households have received formal notices this year under municipal by-laws after mosquito breeding was detected on their premises. As the monsoon begins, the city is witnessing a rise in dengue cases, a trend typical for this time of year. Although the numbers are relatively low, the situation is concerning given the usual seasonal spike between July and Oct. Last year, the city recorded 186 cases, a decrease from 276 in 2023, but the situation can quickly worsen if preventive measures are not adhered to. Hospitals are seeing a gradual increase in dengue cases, with 2–3 patients admitted with confirmed symptoms. Many more are visiting outpatient departments with dengue-like symptoms such as high-grade fever, severe headache, muscle and joint pain, fatigue, and nausea. "These symptoms are typical of dengue and shouldn't be ignored, especially during the rainy season," said Dr Tushar Tayal, consultant (internal medicine), CK Birla Hospital. This year's case count remains lower than the peaks of 2021 and 2022, when Haryana reported 11,835 and 8,996 cases, respectively. However, the seasonal spike usually intensifies between Aug and Oct, making the upcoming months critical. Meanwhile, malaria and chikungunya cases remain low, with 65 and 4 cases reported, respectively, this year. No deaths from any vector-borne disease have been recorded in 2025 so far.
NDTV
29-07-2025
- Health
- NDTV
Fever May Be A Commonly Ignored Symptom Of Chikungunya; Here's How To Identify
Fever can often be a commonly ignored or misattributed symptom of chikungunya, especially during monsoon or outbreak seasons when other mosquito-borne illnesses like dengue and malaria are also prevalent. Since fever is a common sign in many infections, it's easy to overlook it as just a seasonal flu. However, chikungunya typically comes with a sudden high fever and is often accompanied by other distinct symptoms. Recognising these additional signs given below can help in timely diagnosis and treatment, preventing further complications or prolonged discomfort. Here's how to identify chikungunya besides fever 1. Severe joint pain One of the hallmark symptoms of chikungunya is intense joint pain and stiffness, often affecting the hands, wrists, ankles, and knees. The pain can be debilitating and may persist for weeks or even months after the fever subsides. This kind of joint discomfort is much more severe compared to typical viral infections and is a key distinguishing sign. 2. Muscle pain and body aches Muscle pain, fatigue, and overall weakness are common in chikungunya. The body ache is usually generalised and adds to the discomfort caused by joint stiffness. These symptoms can make daily tasks difficult and should raise a red flag, especially when paired with fever. 3. Skin rash Many chikungunya patients develop a red, patchy rash on the torso, limbs, or face. This rash can be itchy and usually appears 2–5 days after the onset of fever. While it may resemble rashes caused by other viruses, its timing and spread can help differentiate chikungunya. 4. Swelling and redness in joints Due to the inflammation triggered by the virus, visible swelling and redness around the joints may occur. This is often mistaken for arthritis but is more acute and sudden in chikungunya cases. It's an important clue, especially when paired with a history of mosquito exposure. 5. Headache and nausea Persistent headache, especially behind the eyes, along with nausea or vomiting can accompany chikungunya. These symptoms, although not specific, become more significant when seen with joint and muscle pain. 6. Conjunctivitis or eye redness Some individuals may develop mild conjunctivitis or red eyes, which is not common in all viral fevers. It adds another layer of distinction when diagnosing chikungunya. 7. Digestive disturbances Symptoms like abdominal pain, diarrhoea, or vomiting may also be present in some cases. These gastrointestinal issues, although not universal, can support the clinical suspicion when combined with other chikungunya markers. 8. Low white blood cell count A blood test might show a drop in white blood cell count, though not as dramatic as in dengue. Lab confirmation through RT-PCR or IgM antibody testing helps confirm the diagnosis. 9. Recent mosquito exposure Chikungunya is spread by the Aedes mosquito, which is active during daylight hours. If a patient has been exposed to mosquito bites in a high-risk area or during monsoon season, it strengthens the likelihood of chikungunya being the cause of symptoms. Identifying chikungunya early by looking beyond the fever is essential for effective symptom management and recovery. When symptoms like joint pain, rash, and eye redness appear alongside fever, chikungunya should be strongly suspected, especially during mosquito-prone seasons. Disclaimer: This content including advice provides generic information only. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.
Time of India
01-07-2025
- Health
- Time of India
Dedicated wards, test kits ready: Patna hospitals gear up to tackle dengue rise
1 2 3 4 Patna: With the district recording over twice the number of dengue cases till June this year as compared to the same period in 2024, hospitals have been directed to create dedicated wards and take other measures to prepare for a potential increase in the cases and other vector-borne diseases, as monsoon progresses. Patna district recorded 48 dengue cases by June 30, compared to around 20 during the same period the previous year. The district authorities anticipate that the number of cases will likely increase this year. Patna civil surgeon Dr Abinash Kumar Singh said that of the 48 dengue patients, 26 tested positive at private hospitals. "Preparation has already started for the prevention, testing and treatment of dengue. Around 10,000 combo kits (to detect both dengue virus NS1 antigen and IgG/IgM antibodies) have been procured, and will be given to the govt health facilities in the district. The hospitals have been asked to keep all required medicines, testing kits and mosquito nets ready for dengue patients," he said. The civil surgeon has directed the medical officers of the primary health centres to create two-bed dengue wards, the subdivisional hospitals to arrange for five-bed wards and govt hospitals to keep 10-bed wards ready. Nalanda Medical College and Hospital (NMCH)-Patna has been designated as the nodal centre for dengue in Patna, where a dedicated ward with 80 beds will be arranged. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Giao dịch CFD với công nghệ và tốc độ tốt hơn IC Markets Đăng ký Undo "At Patna Medical College Hospital, a 10-bed intensive care unit (ICU) will be created for dengue patients. The number of beds in dengue wards will be increased in hospitals as per requirement. Additionally, we have around 20 blood banks, including 14 private ones. The blood bank at Paras HMRI has the equipment to separate platelets," the civil surgeon told this newspaper. A health official said the dengue cases, however, peak around Sept-Oct. Around 250 dengue cases were being reported per day during peak time in Oct last year, he added. Patna district magistrate (DM) Thiyagarajan SM said all municipal officials have been asked to ensure preventive and cautionary measures to control dengue. He emphasised the need for vigilance during the rainy season, even though there was no current outbreak of dengue. The DM instructed the civil surgeon to keep rapid response teams active at all primary, urban primary and community health centres, besides referral hospitals. "Activities like intensive spraying of anti-larvae chemicals, house-to-house surveys, source reduction and awareness campaigns, including at schools, are being done. Large-scale promotion of 'Dos and Don'ts' is crucial," Thiyagarajan said, asking the municipal bodies to conduct fogging and ensure waterlogging is prevented. Active surveillance around confirmed dengue cases should be conducted to identify new patients, he told them. The DM directed all schools and colleges to follow the health advisories. "Students should be encouraged to wear clothes, covering most of their body. Educational institutions must maintain high standards of cleanliness and regularly spray anti-larvae chemicals (temephos) in drains," he said. Get the latest lifestyle updates on Times of India, along with Doctor's Day 2025 , messages and quotes!
Time of India
01-07-2025
- Health
- Time of India
With dengue cases doubling this yr from last, Patna hospitals gear up with dedicated wards
1 2 3 Patna: With the district recording over twice the number of dengue cases till June this year as compared to the same period in 2024, hospitals have been directed to create dedicated wards and take other measures to prepare for a potential increase in the cases and other vector-borne diseases, as monsoon progresses. Patna district recorded 48 dengue cases by June 30, compared to around 20 during the same period the previous year. The district authorities anticipate that the number of cases will likely increase this year. Patna civil surgeon Dr Abinash Kumar Singh said that of the 48 dengue patients, 26 tested positive at private hospitals. "Preparation has already started for the prevention, testing and treatment of dengue. Around 10,000 combo kits (to detect both dengue virus NS1 antigen and IgG/IgM antibodies) have been procured, and will be given to the govt health facilities in the district. The hospitals have been asked to keep all required medicines, testing kits and mosquito nets ready for dengue patients," he said. The civil surgeon has directed the medical officers of the primary health centres to create two-bed dengue wards, the subdivisional hospitals to arrange for five-bed wards and govt hospitals to keep 10-bed wards ready. Nalanda Medical College and Hospital (NMCH)-Patna has been designated as the nodal centre for dengue in Patna, where a dedicated ward with 80 beds will be arranged. "At Patna Medical College Hospital, a 10-bed intensive care unit (ICU) will be created for dengue patients. The number of beds in dengue wards will be increased in hospitals as per requirement. Additionally, we have around 20 blood banks, including 14 private ones. The blood bank at Paras HMRI has the equipment to separate platelets," the civil surgeon told this newspaper. Patna district magistrate (DM) Thiyagarajan SM said all municipal officials have been asked to ensure preventive and cautionary measures to control dengue. He emphasised the need for vigilance during the rainy season, even though there was no current outbreak of dengue. The DM instructed the civil surgeon to keep rapid response teams active at all primary, urban primary and community health centres, besides referral hospitals. "Activities like intensive spraying of anti-larvae chemicals, house-to-house surveys, source reduction and awareness campaigns, including at schools, are being done. Large-scale promotion of 'Dos and Don'ts' is crucial," Thiyagarajan said, asking the municipal bodies to conduct fogging and ensure waterlogging is prevented. Active surveillance around confirmed dengue cases should be conducted to identify new patients, he told them. The DM directed all schools and colleges to follow the health advisories. "Students should be encouraged to wear clothes, covering most of their body. Educational institutions must maintain high standards of cleanliness and regularly spray anti-larvae chemicals (temephos) in drains," he said. Get the latest lifestyle updates on Times of India, along with Doctor's Day 2025 , messages and quotes!
