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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Mild Hepatomaglea And Spleenomagle Of Abdomen And Pelvis Suggest?

dear doctor, my widal test report shows o antigen - negative, h antigen 1:80 (positive) and ah antigen 1:80 (positive) i have some back pain and knee paint. is it i am affected by typhoid??y because my abdomen scan and pelvis shows mild hepatomaglae and spleenomagle . ESR is 34mm. plc help me
Sat, 15 Feb 2014
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Infectious Diseases Specialist,  's  Response
Hello,
Welcome to HCM,
WIDAL test is not a diagnostic test in typhoid but during the 2nd week of fever raising titre of antigen from 1:80 to 1:160 to 1:320 helps to make the diagnosis.
Blood culture in the 1 st week is more valid to make the diagnosis.
There are many conditions which can lead to mild spleenomegaly and hepatomegaly, typhoid fever may also causes mild spleenomegaly but hepatomegaly is very rare in typhoid. ESR will be raised whenever there ia active infection in the body.
You require physical examination to confirm the the USG report.
Thank you.
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What Does Mild Hepatomaglea And Spleenomagle Of Abdomen And Pelvis Suggest?

Hello, Welcome to HCM, WIDAL test is not a diagnostic test in typhoid but during the 2nd week of fever raising titre of antigen from 1:80 to 1:160 to 1:320 helps to make the diagnosis. Blood culture in the 1 st week is more valid to make the diagnosis. There are many conditions which can lead to mild spleenomegaly and hepatomegaly, typhoid fever may also causes mild spleenomegaly but hepatomegaly is very rare in typhoid. ESR will be raised whenever there ia active infection in the body. You require physical examination to confirm the the USG report. Thank you.