There is no medical diagnosis known as “Malaria typhoid” in
conventional medicine Posted: September 16, 2016 by *PaanLuel Wël* in
Commentary <>, Contributing
Writers <>, Health

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*Joint Commentary by Dr. Thoi and Diktoor Pal Chol, Juba, South Sudan*
[image: assuming]

Stop assuming

*September 16, 2016 (SSB) — Comment by Dr. Loi:* There is no medical
diagnosis known as “Malaria typhoid” in the conventional medicine. Please
be careful in terms of where you go for treatment in Juba. It is very
unfortunate that South Sudan Medical Council is silence about the
malpractices in the country. Malaria is a parasitic disease transmitted to
human by mosquito. Typhoid is a bacterial infection acquired through
dinking contaminated drink or eating   contaminated food.

Avoid mosquito and you will not get malaria. Ensure that you drink clean
water and eat clean, well cooked food and you will not experience symptoms
and signs of typhoid in your entire life. Those who are inventing a new
medical diagnosis known as “malaria typhoid” need to check their medical
knowledge and probably check their medical qualification as well.

Dear Achol Salva make sure that you avoid mosquito, drink clean water and
eat clean, well cooked food and you will never acquire any of the two
diseases.  Please contact me in person at the Ministry of Health in Juba if
you would like more discussion on this.

*Commentary on Dr Loi ‘s post by Diktoor Pal Chol*: The case of
Malaria/Typhoid is unprofessional and is a concocted diagnosis by those it
suits best. This scenario came into being after 2005 with the influx of
foreign quack doctors coupled with their introduction  as a drug of choice,
of Ceftriaxone injection, a third generation cephalosporin broad spectrum
antibiotic. Malaria is caused by plasmodium parasites and it is transmitted
by an infected female anopheles mosquito whereas Typhoid is caused by a
bacterial salmonella typhi and the mode of transmission is through
contaminated food and water.

 Both present with fever, headache and diarrhea. Typhoid patients present
with constant headache and fever of 38-40 degree Celsius which is spiking
in nature, may get complicated and the patient develops abdominal pain. If
not treated, it may burst and leads to peritonitis which needs surgical
attention. In rare cases, the two occur together. The cardinal point here
is that not all headaches are due to typhoid fever. There are so many
causes. This is clear. Sometimes, the patients who complains of headache,
out of ignorance, ask to have typhoid tested when they see you in the
Hospital or Clinic. They have been indoctrinated by these quack doctors
that headache is due to typhoid.

Experience: A 40-year old female went to a certain clinic and was diagnosed
with malaria/ typhoid. She was prescribed and artemether injection and
Ceftriaxone IV bd for 10 days, therapeutic misadventure. She then came to
us in Mawuna Medical complaining of the same headache despite the
treatments given. On examination, her blood pressure was 160/100mmHg.Blood
smear for malaria was negative and the Widal test for typhoid, which is not
a reliable was non-reactive. Other routine investigations were
inconclusive. She was put on low dose antihypertensive and low dose

 The next day, the blood pressure became 130/90 but she still had fever. I
requested CT scan of brain with and without contrast, unfortunately, the
result came out as an interventricular subdural haemorrhage. Very
unfortunate. When I called the surgeon foe opinion. He said she had to be
referred to Khartoum for neurosurgical management.

Finally, the Medical Council should embark on streamlining the medical
practice in the country. Thank you Dr Loi for bring this important issue to
the public attention.

*The opinion expressed here is solely the view of the writer. The veracity
of any claim made are the responsibility of the author, not PaanLuel Wël:
South Sudanese Bloggers (SSB) website. If you want to submit an opinion
article or news analysis, please email it to
<>. SSB do reserve the right to edit material before
publication. Please include your full name, email address and the country
you are writing.*
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