Typhoid fever is a systemic illness caused by Salmonella enterica serovar typhi (S. typhi) and is endemic in Kenya, where a single Widal test done on an acute phase serum is the most commonly used test. Using a cut-off value of 1:320 for both O and H agglutinins as being diagnostic of S. typhi, only 18 (26%) of our patients had diagnostic titres; 37 (53.6… (More)