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What Does This Widal Test Result For Malaria Indicate?

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Posted on Tue, 15 Jul 2014
Question: Sir
the following is the result of my lab test yesterday
MP= +seen
WIDAL
S TYPHI O = 1/20
S TYPHI H =1/160
S PARATYPHI AO = 1/40
S PARATYPHI AH = 1/40
S PARATYPHI BO = 1/40
S PARATYPHI BH = 1/20
S PARATYPHI CO = 1/160
S PARATYPHI CH = 1/160

Do I have malaria or typhoid
doctor
Answered by Dr. Indu Kumar (52 minutes later)
Brief Answer:
You are suffering from dual infection.

Detailed Answer:
Hello XXXXXX
Thanks for writing to HCM

I have gone through your reports in detail.
You are suffering from dual infection i,e both malaria and typhoid.
Malaria parasite test is positive in your case.

Widal test (test for typhoid)is also positive.Single antibody value of salmonella O or H > or equal to 1: 160 is considered as positive.However four fold increase in follow up titration is confirmatory for typhoid fever.

In cases of typhid,I suggest my patients to take injection ceftriaxone 1 gm I.V twice daily for seven days.Alternatively,tablet cefixime 200 mg twice daily for seven days can also be taken orally.

You are getting right medicines for malaria.Continue it.
You should take anti-diabetic drugs regularly.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (13 minutes later)
Could the typhoid be responsible for my excessive flatulence during the day and night and not familiar stool smell?
doctor
Answered by Dr. Indu Kumar (6 minutes later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXXXX
Thanks for writing back

Yes,typhoid in first week causes gastrointestinal upset.

In this situation,I recommend my patients to take tablet proton pump inhibitors like pantoprazole 40 mg once daily half hour before food for one month.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Does This Widal Test Result For Malaria Indicate?

Brief Answer: You are suffering from dual infection. Detailed Answer: Hello XXXXXX Thanks for writing to HCM I have gone through your reports in detail. You are suffering from dual infection i,e both malaria and typhoid. Malaria parasite test is positive in your case. Widal test (test for typhoid)is also positive.Single antibody value of salmonella O or H > or equal to 1: 160 is considered as positive.However four fold increase in follow up titration is confirmatory for typhoid fever. In cases of typhid,I suggest my patients to take injection ceftriaxone 1 gm I.V twice daily for seven days.Alternatively,tablet cefixime 200 mg twice daily for seven days can also be taken orally. You are getting right medicines for malaria.Continue it. You should take anti-diabetic drugs regularly. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX