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Can CBC Detect Typhoid?

Published in Infectious Diseases 2 mins read

While a Complete Blood Count (CBC) can provide clues, it cannot definitively detect typhoid fever. A CBC might show abnormalities suggestive of infection, but specific tests are needed for confirmation.

Here's a breakdown:

  • What a CBC can show:

    • A CBC can reveal a high white blood cell count (leukocytosis) which suggests an infection. In some cases, especially in the early stages of typhoid, a low white blood cell count (leukopenia) may be observed.
    • It can also show other abnormalities like anemia (low red blood cell count) or changes in platelet count.
    • However, these changes are non-specific and can occur in many other infections.
  • Why it's not definitive:

    • Many other conditions can cause similar changes in blood cell counts. Therefore, a CBC alone is insufficient to diagnose typhoid fever.
  • Definitive Diagnostic Tests for Typhoid:

    • Blood Culture: This test involves culturing a blood sample to check for the presence of Salmonella typhi bacteria, the cause of typhoid fever. A blood culture is most accurate during the first week of the illness.
    • ELISA Blood Test: This test detects antibodies against Salmonella typhi in the blood.
    • Stool Culture: A stool sample is tested for Salmonella typhi.
    • Urine Culture: A urine sample is tested for Salmonella typhi.

In conclusion, while a CBC can provide some information about a possible infection, it cannot specifically detect typhoid fever. Other tests, such as blood cultures and ELISA tests, are necessary to confirm the diagnosis.

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