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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Fever,.Done Tests For Typhoid, Samonella Typhi Results Seen. What Does It Show?

Hi, I am 29 years old female, and I had a blood test for typhoid fever in 2 different places, and the results were: 1. The blood test showed the result as Salmonella typhi o = 1:240; salmonella typhi h = 1:80; salmonella Para typhi A-H = 1:20; Salmonella Para typhi B-H = 1:20. 2. The other report as consulted by the Physician to do ThyphiDot and the result for this is Salmonella Typhi Dot IgM and IgG as Negative. Therefore, I am a little confused as to which report is correct and do I really have thyphoid fever, as the Physician has told me not to worry and I have no thyphoid fever, but the fever still persist, especially during the evening time?.. Kindly reply ASAP
Fri, 22 Mar 2013
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Internal Medicine Specialist 's  Response
hi!
Before going into details i want to know since how many days do you have fever?If answer is less than 7 days then none of the test done by you are reliable.Only blood culture can detect typhoid in first 7 days.
Except typhi h titre of 240 rest of the things are normal.
Fever has many causes but physician can narrow the diagnosis by history and physical examination.
If he is not suspecting typhoid for you means possibility is very less.
If you have already been started on treatement you can continue it as per advise.If still fever persists ,then xou can go for repeat widal testing to look for rising titre of typhi h.
Hope you got the adequate information.
Please do not hesitate to write us for anymore help.
Wish you good health.
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Have Fever,.Done Tests For Typhoid, Samonella Typhi Results Seen. What Does It Show?

hi! Before going into details i want to know since how many days do you have fever?If answer is less than 7 days then none of the test done by you are reliable.Only blood culture can detect typhoid in first 7 days. Except typhi h titre of 240 rest of the things are normal. Fever has many causes but physician can narrow the diagnosis by history and physical examination. If he is not suspecting typhoid for you means possibility is very less. If you have already been started on treatement you can continue it as per advise.If still fever persists ,then xou can go for repeat widal testing to look for rising titre of typhi h. Hope you got the adequate information. Please do not hesitate to write us for anymore help. Wish you good health.