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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Severity Of The Below Widal Test Values For Typhoid ?

Widal test for typhoid gave following values: S. typhi O 1:40 S.typhi H 1:40 S. paratyphi A H antigen 1:20 S. paratyphi B H antigen 1:20 Doctor please answer the following: What is the severity level of Typhoid? What is the normal range of Widal test values? What medicines should...
Mon, 26 Oct 2015
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General & Family Physician 's  Response
Your widal test is negative for typhoid.
In Widal test important factor is the level of the O and H agglutinin titer levels. If this number is below 1:160, it is normal. If, however, it is over 1:160, you "may" have typhoid fever or another salmonella related illness.
But even after this negative result you can have typhoid. As Widal test report can produce a false positive for typhoid because it cannot interpret the difference between a person currently ill with typhoid and one who has recovered and is a carrier or one who simply has been vaccinated against the disease. It can also confuse the diagnosis with other salmonella-type conditions such as malaria.
So get a Blood culture done. Then start any anti biotic. Recommended antibiotic is tablet cefixime 400 mg 1 × PO × OD for 5 days
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What Is The Severity Of The Below Widal Test Values For Typhoid ?

Your widal test is negative for typhoid. In Widal test important factor is the level of the O and H agglutinin titer levels. If this number is below 1:160, it is normal. If, however, it is over 1:160, you may have typhoid fever or another salmonella related illness. But even after this negative result you can have typhoid. As Widal test report can produce a false positive for typhoid because it cannot interpret the difference between a person currently ill with typhoid and one who has recovered and is a carrier or one who simply has been vaccinated against the disease. It can also confuse the diagnosis with other salmonella-type conditions such as malaria. So get a Blood culture done. Then start any anti biotic. Recommended antibiotic is tablet cefixime 400 mg 1 × PO × OD for 5 days