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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do The Results On Widal Test Explain Fever, Chills, Vomiting And Nausea?

hi, my brother is suffering from fever , chills, vomitting and nausea foar about a week now ...the report for widal tests show :ANTI S, TYPHI O TITRE REACTIVE ( 1:80 )
ANTI S, TYPHI H TITRE NO AGGLUTINATION
ANTI S, PARATYPHI AH TITRE NO AGGLUTINATION
ANTI S, PARATYPHI BH TITRE NO AGGLUTINATION
And CBC shows : HAEMOGLOBIN 13.5 M : 13.0 - 18.0 , F : 11.5 - 16.5 gms/dl
R.B.C. MILLIONS / CMM 5.14 M : 4.5 - 6.5 , F : 3.8 - 4.5
P.C.V % 35.4 M : 42 - 54 , F : 35 - 54 %
M.C.V FL 68.80 76 - 96
M.C.H PG 26.20 27 - 32
M. C. H. C. % 38.10 30 - 36 %
R.D.W - CV% 13.4 11 - 14 %
TOTAL W.B.C. COUNT / CMM 3600 4000 - 11000
DIFFERENTIAL COUNT
NEUTROPHILS % 75 40 - 75 %
LYMPHOCYTES % 20 20 - 45 %
EOSINOPHILS % 02 01 - 06 %
MONOCYTES % 03 01 - 10 %
BASOPHILS % 00 00 - 01 %
PLATELETS COUNT / CUMM
PLATELETS COUNT 127000 150000 - 450000 / CUMM
PERIPHERAL SMEAR STUDY
RBC MORPHOLOGY HYPO(+)MICRO(+)
WBC MORPHOLOGY LEUCOCPENIA
PLATELETS ON SMEAR ADEQUATE
can u please help me understand this ... Thanks
Sat, 22 Mar 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
The interpretation of the report is as follows:
1. Widal test is done for typhoid fever. The test is reactive or positive if the antigen O and antigen H show a titres more than 1:80 and the titres should double.
In your test report only the titres for antigen O are high but titres for antigen H are normal.
The test result is negative for typhoid.
2. The red blood cell counts, and platelets count are all within normal range.
There is slight decrease in white blood cell counts.
You can get white blood cell count repeated as after few days, since the differential counts of white blood cells are normal, there is no hamatological abnormality as such.
The red cell parameters i.e. MCV and MCH are low and peripheral blood film shows features of microcytic hypochromic anemia.
Microcytic hypochromic blood picture is seen most commonly in iron deficiency anemia.
You need to consult your physician for clinical assessment , relevant investigations and management.

Thanks and take care
Dr Shailja P Wahal

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Do The Results On Widal Test Explain Fever, Chills, Vomiting And Nausea?

Hello and welcome to HCM, The interpretation of the report is as follows: 1. Widal test is done for typhoid fever. The test is reactive or positive if the antigen O and antigen H show a titres more than 1:80 and the titres should double. In your test report only the titres for antigen O are high but titres for antigen H are normal. The test result is negative for typhoid. 2. The red blood cell counts, and platelets count are all within normal range. There is slight decrease in white blood cell counts. You can get white blood cell count repeated as after few days, since the differential counts of white blood cells are normal, there is no hamatological abnormality as such. The red cell parameters i.e. MCV and MCH are low and peripheral blood film shows features of microcytic hypochromic anemia. Microcytic hypochromic blood picture is seen most commonly in iron deficiency anemia. You need to consult your physician for clinical assessment , relevant investigations and management. Thanks and take care Dr Shailja P Wahal