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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Continuous Fever, Intermittent Body Pain,typhoid Test Done. What Is The Analysis?

Hello Doctors, I had fever for two days and last week I had body pain and intermittent fever. So, i had my Typhoid test done today and not sure if its positive or negative. Though I do not have fever now, I am not sure of my result. My report says : S.Typhi O : Positive in 1:20 diln S.Typhi H : Positive in 1:20 diln S.Paratyphi AH : Negative in 1:20 diln S.Paratyphi BH : Negative in 1:20 diln Please let me know as early as possible. Thanks
Tue, 9 Oct 2012
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM
It is good that now you are not having any fever, as far as interpretation of widal test for Typhoid is no longer used for diagnosis as blood culture is more specific.
This test takes almost 1 week to be positive and that to we have to repeat to see rising titres.
1;20 dilution has no clinical significance,it has less sensitivity and specificity.
Doctors usually do not advise only widal test for fever a CBC ,MP, and other test are asked and should be done with advise of doctor he will interpert in clinical corelation.
Take care

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Pediatrician, Neonatology Dr. Uma Rajah Ananth's  Response
Hi,
This 1:20 dilution is not positive and not suggestive of typhoid.
Widal would become positive only after 6-7 days after onset of fever.
May be you had viral fever in view of body aches and fever.
Sonwaitnand watch.
Al the best
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Continuous Fever, Intermittent Body Pain,typhoid Test Done. What Is The Analysis?

Hi, Welcome to HCM It is good that now you are not having any fever, as far as interpretation of widal test for Typhoid is no longer used for diagnosis as blood culture is more specific. This test takes almost 1 week to be positive and that to we have to repeat to see rising titres. 1;20 dilution has no clinical significance,it has less sensitivity and specificity. Doctors usually do not advise only widal test for fever a CBC ,MP, and other test are asked and should be done with advise of doctor he will interpert in clinical corelation. Take care