Q.The diagnostic test that confirms typhoid in humans is (A) ELISA (B) Widal (C) MRI (D) Amniocentesis
Typhoid fever is diagnosed by detecting antibodies against Salmonella typhi in the patient's serum; the Widal test is the classic serological method for this purpose. The answer is (B).
Typhoid fever is caused by the bacterium Salmonella typhi, which enters through contaminated food or water and invades the bloodstream. To confirm an active or recent infection, we need to detect either the pathogen itself or the immune response it triggers—specifically, antibodies the body produces against the bacterial antigens.
The Widal test is a serological assay that detects and measures agglutinating antibodies (IgM and IgG) against two key antigens of Salmonella typhi: the O antigen (somatic) and the H antigen (flagellar). When serum from a suspected typhoid patient is mixed with these antigens, visible clumping (agglutination) occurs if the corresponding antibodies are present. A rising titre over time, or a titre above a certain threshold, supports the diagnosis of typhoid.
Let's see why the other options don't fit:
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ELISA (Enzyme-Linked Immunosorbent Assay) — This is a versatile technique used to detect antibodies or antigens for many diseases (HIV, hepatitis, dengue, etc.), but it is not the standard confirmatory test for typhoid. While ELISA-based tests for typhoid exist, they are not the classical diagnostic method taught in most curricula.
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MRI (Magnetic Resonance Imaging) — This is an imaging technique that visualizes soft tissues, organs, and the nervous system. It has no role in diagnosing infectious diseases like typhoid; it's used for structural abnormalities, tumors, or neurological conditions.
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Amniocentesis — This is a prenatal diagnostic procedure in which amniotic fluid is sampled to detect genetic disorders or chromosomal abnormalities in a fetus (e.g., Down syndrome). It has nothing to do with bacterial infections in adults.
Remember the mnemonic: "Widal for typhoid"—both have an "i" and relate to bacterial serology. The Widal test specifically targets Salmonella antibodies.
The Widal test can give false positives in endemic areas (due to prior exposure or vaccination) and false negatives early in infection (before antibody levels rise). Blood culture remains the gold standard for definitive diagnosis, but Widal is the most widely used serological test in clinical practice and exams.
The correct option is (B) Widal.
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