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What Do These Typhoid Test Results Indicate?

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Posted on Tue, 13 Oct 2015
Question: Dr. The test shows on 11 Sept as typhi O (TO) as 1:40; typhi H (TH) as 1:40; paratyphi A, H (AH) as 1:20 and paratyphi B, H (BH) as 1:20.

We conducted the same test on 21st September and the results are: typhi O (TO) as 1:80; typhi H (TH) as 1:80; paratyphi A, H (AH) as 1:160 and paratyphi B, H (BH) as 1:20.

What do those readings mean and why so much of difference with in 12 days. Presently my son who is 10 years old is on Sefixime 100 mg twice a day. Please do advice as the fever comes and goes. Thank you sir
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Answered by Dr. Prasanna Heijebu (1 hour later)
Brief Answer:
Titers suggest ongoing typhoid infection.

Detailed Answer:
Hello, Sir.

I understand your concern.

I have gone through the reports you attached.

As per the results, there seems to be a four fold rise of titers wrt to H antigens, particularly wrt to paratyphi A.

This can point to Typhoid infection caused by Salmonella paratyphi A.

H titers are more significant than O titers.

The increase in titers particularly happens in the 2nd and 3rd week of illness.

You need not worry of this elevation much.

Also, your child is placed on a right antibiotic Cefixime.

You can expect your child to become normal soon.

Post your further queries if any.
Thank you.
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Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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What Do These Typhoid Test Results Indicate?

Brief Answer: Titers suggest ongoing typhoid infection. Detailed Answer: Hello, Sir. I understand your concern. I have gone through the reports you attached. As per the results, there seems to be a four fold rise of titers wrt to H antigens, particularly wrt to paratyphi A. This can point to Typhoid infection caused by Salmonella paratyphi A. H titers are more significant than O titers. The increase in titers particularly happens in the 2nd and 3rd week of illness. You need not worry of this elevation much. Also, your child is placed on a right antibiotic Cefixime. You can expect your child to become normal soon. Post your further queries if any. Thank you.