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Is There Any Doctor Available To Analyse This Report?

Hi Dr. Matthew Mintz,
I have gotten my Widal Test report back today and it has shown that I am O+ for typhoid with a count of 1/180. What does this mean exactly and how can I cure it? I am presently taking Rocephine through IV as I was also told that I have a UTI with E. Coli.
Tue, 24 Jun 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

Widal test is done for the diagnosis of typhoid fever.
Widal test detects the presence of antibodies against the O and H antigen of Salmonella typhi, causative agent of typhoid fever.
The antibody titres of 1: 80 and above are considered as reactive or positive for typhoid infection.
Thus, the antibody titre for O antigen is positive or reactive at 1:180.

However, a prior intake of antibiotics can lead to false negative Widal test.
However, your test is still positive so typhoid is suspected.

You need to consult your primary health provider for prescription of antibiotic treatment for typhoid infection.

You can continue the antibiotic for urinary tract infection.
Get a urine test repeated after the antibiotic course is over.

Thanks and take care
Dr Shailja P Wahal
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Is There Any Doctor Available To Analyse This Report?

Hello and welcome to HCM, Widal test is done for the diagnosis of typhoid fever. Widal test detects the presence of antibodies against the O and H antigen of Salmonella typhi, causative agent of typhoid fever. The antibody titres of 1: 80 and above are considered as reactive or positive for typhoid infection. Thus, the antibody titre for O antigen is positive or reactive at 1:180. However, a prior intake of antibiotics can lead to false negative Widal test. However, your test is still positive so typhoid is suspected. You need to consult your primary health provider for prescription of antibiotic treatment for typhoid infection. You can continue the antibiotic for urinary tract infection. Get a urine test repeated after the antibiotic course is over. Thanks and take care Dr Shailja P Wahal