Typhoid Abdominalis: Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests.

  • Small blood count
  • Differential blood count
  • Inflammatory parameters – CRP (C-reactive protein) or PCT (procalcitonin).
  • Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity / resistance).
  • Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT), alkaline phosphatase, bilirubin.
  • Direct pathogen detection* , best from blood culture (early detection); but also from urine, stool (later detection), bone marrow.
  • Salmonella detection (Gruber-Widal agglutination) – antibody detection from the beginning of the second week of illness.

* Namely in the sense of the Infection Protection Act, the suspected disease, the disease and death from typhus abdominalis / paratyphoid must be reported.