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Year : 2001  |  Volume : 4  |  Issue : 1  |  Page : 43-45

Febrile illness, widal test and diagnosis of typhoid fever

Department of Surgery, University of Benin Teaching Hospital, PMB 1111, Benin City, Nigeria

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M I Momoh
Department of Surgery, University of Benin Teaching Hospital, PMB 1111, Benin City
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This study was motivated in the University Of Benin Teaching Hospital, Benin City, by the cases fJj three patients with perforated abdominal viscera who were having antibiotic treatment for typhoid fever on account of "significant" titre on Widal testing. One hundred apparently healthy medical students each had their sera tested for agglutinins to Salmonella typhi '0' and H antigen and Paratyphi A, Band C, between January and March, . This demonstrated the sero-prevalence of16% of Salmonella agglutinins in this group and thus provide a background for interpretation of Widal test results from general community. We conclude that a significant Widal reaction in a febrile patient should not preclude search for another abdominal pathology. None of the 3 patients had typhoid perforation of the ileum nor any surgical complications of typhoid fever.

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