Question 1

Please confirm whether I have typhoid based on my Widal test results, O antigen is 1:160 and H antigen is 1:160. I have heard that values above 1:160 may suggest typhoid. I have been having chills, high fever up to 102.6F, cold, cough, and body aches. After taking Paracetamol, Aceclofenac and Cefigard 200, my symptoms have subsided. Should I continue with the same prescription? Also, my CBP is normal, and the urine report shows pus cells of 5 to 6 HPF and epithelial cells is 2 to 4 HPF.

Question 2

Hello doctor, I am currently undergoing treatment for pleural tuberculosis and have completed 2 months of therapy. I still have a mild fever of 99 to 99.5. My doctor told me to go for a Widal test and after the test he prescribed me cefixime and ofloxacin tablet. Doctor, I am attaching my Widal test report. Can you look at it? Thank you in advance.

Question 3

I recently had tests done due to fever. The Widal test showed typhoid positive, but the Typhidot test was negative. My CBC report shows: low RBC, low lymphocytes, low platelet count, low PCV, high MCV, and high MCH. Along with this, I am experiencing consistent pain between my chest and stomach, joint pain, tiredness, and back pain including along the spine. At night, my back pain increases, and when I wake up I feel a lot of pain in my arms, shoulders, back, and legs. The pain reduces when I am active at work, but worsens again when I take rest. Given these test results and symptoms, what could be the possible diagnosis?

How long do we need to take the medicine? How can I know if the treatment is completely effective, since I cannot see clear results in the Widal test?

A positive Widal test alone does not confirm typhoid unless symptoms match. If not improving, repeat CBC, Typhoid IgM, and Blood Culture. Treatment should be continued for the full prescribed course even if you feel better early.

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