What is a Typhidot Test?
The Typhidot Test is a modern rapid serological test used to diagnose typhoid fever by detecting specific IgM and IgG antibodies against the Salmonella typhi bacteria. Unlike the traditional Widal test which looks for general agglutination to O and H antigens, the Typhidot uses a dot ELISA-based method to identify antibodies against the specific outer membrane protein (OMP) of S. Typhi. This makes it significantly more specific and less prone to false positives. A Typhidot test can often detect infection within 2–3 days of fever onset — earlier than the Widal test.
Understanding IgM and IgG Antibodies in Typhidot
A key advantage of the Typhidot is its ability to differentiate between stages of infection:
- IgM Positive — indicates a recent or acute S. Typhi infection. IgM antibodies are the first to appear when the body fights the bacteria, typically from Day 4–5 of fever.
- IgG Positive — suggests a past resolved infection, chronic carriage or a resolving stage of the current disease. IgG persists for months to years after recovery.
- Both IgM and IgG Positive — usually indicates an ongoing acute infection or reinfection in someone who has had typhoid before.
- Both Negative — typhoid unlikely if fever has been present for more than 5 days; consider other diagnoses or order Blood Culture.
Interpreting Typhidot Results
| IgM | IgG | Interpretation |
|---|---|---|
| Positive | Negative | Acute primary typhoid infection — treat immediately |
| Positive | Positive | Acute infection with prior exposure — treat immediately |
| Negative | Positive | Past resolved infection — not current active disease |
| Negative | Negative | Typhoid unlikely after Day 5 — consider other diagnoses |
Your doctor will interpret Typhidot results alongside your fever duration, CBC findings and clinical symptoms for accurate diagnosis.
Typhidot vs Widal — Why Typhidot is More Reliable
- Earlier detection — Typhidot IgM detectable from Day 4–5. Widal requires Day 7–10 to be meaningful.
- Higher specificity — Typhidot targets the specific OMP antigen of S. Typhi. Widal cross-reacts with other Salmonella species and non-typhoid febrile illnesses.
- Less affected by endemic background titers — Widal has a high false positive rate in endemic areas like Kolkata. Typhidot is less affected by prior subclinical exposure.
- Distinguishes IgM vs IgG — Typhidot tells you whether the infection is current (IgM) or past (IgG). Widal titers alone cannot reliably make this distinction.
- Not affected by typhoid vaccination — Widal can give false positives in vaccinated individuals. Typhidot OMP-based test is not significantly affected by vaccination.
When is a Typhidot Test Recommended?
Your doctor may recommend a Typhidot test if you:
- Have persistent fever above 38.5°C for 3–7 days
- Have symptoms suggestive of typhoid — abdominal pain, extreme weakness, headache, relative bradycardia
- Need earlier diagnosis than the Widal test can provide
- Have a negative Widal result but symptoms persist
- Have recently consumed street food or potentially contaminated water
- Are in a typhoid-endemic area like Kolkata with prolonged unexplained fever
- Need to confirm whether a current fever is new typhoid or residual past infection
What Conditions Does Typhidot Help Diagnose?
- Acute typhoid fever (S. Typhi)
- Differentiation of current vs past typhoid infection
- Typhoid in vaccinated individuals (where Widal may be falsely positive)
- Undifferentiated prolonged fever — ruling in or out typhoid alongside dengue and malaria panels
Typhidot Test Price in Kolkata
No fasting required | Detects from Day 4–5 of fever | Free home collection above ₹2,000
Tests Commonly Ordered Alongside Typhidot
- Widal Test — ordered alongside Typhidot after Day 7 for comprehensive typhoid confirmation
- CBC (Complete Blood Count) — typhoid causes leukopenia (low WBC), relative lymphocytosis and eosinopenia. Monitors platelet count throughout illness.
- Blood Culture — the definitive gold standard for typhoid. Ordered when Typhidot is equivocal or for antibiotic sensitivity testing.
- Dengue NS1 + IgM/IgG — dengue and typhoid have overlapping symptoms and co-occur in Kolkata
- Malaria Antigen + MP Smear — malaria must be ruled out in any prolonged undifferentiated fever
- LFT (Liver Function Test) — typhoid can cause hepatitis with elevated liver enzymes
Home Collection for Typhidot Test in Kolkata
Apollo Diagnostics provides priority home blood sample collection for Typhidot tests across North and Central Kolkata. Typhoid patients are severely weakened and should not travel to a lab. Our phlebotomists come to you with sterile equipment and samples are processed at our NABL-certified central laboratory with results typically delivered the same day.
- Home collection available: 7:00 AM – 2:30 PM Daily
- No fasting required — test any time of day
- Priority collection for febrile patients
- Free home collection on orders above ₹2,000
- Digital reports delivered to WhatsApp within 10–12 hours
→ Apollo Diagnostics Nagerbazar → Full List of Individual Tests → Book Home Collection → Full Body Checkup Packages
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