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  • Title: False positive widal reaction in high-titer disseminated BCG infection.
    Author: Skoutelis A, Dimitrakopoulos G, Bassaris H.
    Journal: Eur J Clin Microbiol Infect Dis; 1994 Mar; 13(3):261-3. PubMed ID: 8050442.
    Abstract:
    False-positive Widal reactions following certain non-typhoid Salmonella infections may occur commonly. The case of a patient who developed miliary tuberculosis secondary to intravesical bacillus Calmette-Guérin (BCG) immunotherapy for bladder carcinoma is described. Very high titers of typhoid and paratyphoid agglutinins were obtained with the Widal test; these titers returned to normal after successful anti-tuberculous treatment. This case of high-titer, false-positive Salmonella typhi and Salmonella paratyphi A and B reactions to BCG infection occurred in an area non-endemic for typhoid or paratyphoid fever.
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