Question of the Week

Question

Question :

Posted On : 01 May 2021

A 12 years boy came to me with a history of fever for 7 days. Her Widal report is as under - Salmonella `o` 1, 320, and salmonella `h` 1, 160. He had a similar attack of fever when his Widal test become positive 2-3 times in a year. Each time he is treated with inj ceftrixone and he gets relieved.
Is he getting recurrent typhoid or there is some other cause?

Expert Answer :

Answer Discussion :

S

Shafqat Sayeed

0

anamnestic reaction .

3 years ago

S

Silver Yeibake

1

Blood culture as well as Microscopy and sensitivity test should be done first before any other treatment is administered

3 years ago

A

Ayesha Saleem

0

under treated/ partially treated typhoid. Moreover, he needs blood cultures this time.

3 years ago

E

Emmanuelle Batchanou

0

I think he should do a blood culture which has a high sensitivity for Salmonella

3 years ago

K

Kavya Goyal

0

false positive indicating other untreated infection

3 years ago

Answer 1

Widal test is a serological test. It is not a Gold standard test for diagnosis of Typhoid fever. Once the Widal test is positive, it remains positive for quite a long time for months. Please get a blood culture done if the now child gets a fever. Salmonella is a very culture-friendly organism.

Question of the Week

Home

Partner Sites