Repeated Widal test result of s typhi th 320 even after taking the following antibiotics; rocephin, augmentin, flagyl, ciprotab, each for 7 days with no change. Blood culture negative, so is stool and urine culture. Wat should I do? Its been going on for 4 months now.
Thanks for your query. I want to say you thanks for your positive outlook regarding the disease. For enteric fever(Typhoid and paratyphoid fever), blood culture is the most important diagnostic method. The feces will contain the organism more frequently during the 2nd and 3rd weeks.Nowadays Tidal test is considered as less important diagnostic test for Typhoid and paratyphoid fever as it is non-specific and sometimes may be false positive. Even this test is not mentioned in the latest edition of Davidson's Principles and Practice of Medicine,21st Edition(one of the important text books of medicine) for diagnosis of enteric fever. If you do not have any health problems now, you need not worry about the Tidal test result since your blood culture is negative. Hope this answers your query. Wish you good health.