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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Persisting Fever With Cold And Cough. Widal Test Done. Ofloxacin And Rabedom Prescribed. Chances Of Typhoid?

My mother aged 56 years has fever from 27th aug and visited a gp on 28th. Was given some medicine. But since the fever did not go recede and cold , cough worsened a Widal test was done yesterday. Results are - s typhi O antigen: absent, s typhi H antigen: absent s paratyphi a(h) antigen : 1:80 s paratyphi b(h) antigen : Absent Note: significant titre is more than 1:80 dilution. Rising titre is significant. she is feeling very weak. Ofloxacin and rabe+dom have been prescribed by doc. Do these symptoms and tests indicate typhoid? If yes which stage Thanks.
Mon, 25 Nov 2013
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Infectious Diseases Specialist 's  Response
Hi,

Welcome to HCM.

The results are suggestive of paratyphoid type A. Yes, the rising titre is significant. If the titre increases in subsequent test then it is suggestive of paratyphoid fever. She has been correctly treated with appropriate antibiotics. I suggest you complete the full course of antibiotic therapy and adequate rest is recommended.

Thanks.
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Having Persisting Fever With Cold And Cough. Widal Test Done. Ofloxacin And Rabedom Prescribed. Chances Of Typhoid?

Hi, Welcome to HCM. The results are suggestive of paratyphoid type A. Yes, the rising titre is significant. If the titre increases in subsequent test then it is suggestive of paratyphoid fever. She has been correctly treated with appropriate antibiotics. I suggest you complete the full course of antibiotic therapy and adequate rest is recommended. Thanks.