HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Does High ESR Level And Fever Mean TB?

default
Posted on Sun, 9 Mar 2014
Question: I am suffering from high fever for the past 20 days and my esr is high 50 mm 1/2 hr & typoid positive 1:40? Fever continues still. does high esr means TB?
doctor
Answered by Dr. Praveen G (1 hour later)
Brief Answer: Fever with increased in ESR Detailed Answer: Hello, Welcome to healthcare Magic, I have gone through your present history of illness and medical history. Erythrocyte Sedimentation Rate (ESR) is a marker of infection or inflammation in the body and increases in many infectious conditions. It does not indicate the actual diagnosis and it is not a specific diagnostic test for any infection. ESR is said to be nonspecific because higher values do not locate exactly where the inflammation is in your body.As you are having injury to the rib cage it may also have caused rise in your ESR values. So high ESR alone does not confirm the diagnosis of TB.The pulmonary tuberculosis should be confirmed by sputum smear examination and other types of TB should be confirmed by appropriate test based on the affected organ. As you have mentioned in your history that titres of the typhoid as 1:40 and positive but to call it as positive, titres should be as follows O titre should be 1:100 or more and of H titre should be 1:200 or more. So i suggest you to reconfirm the diagnosis of typhoid by Blood culture. Hope you are happy with my answer, if any further query feel free to post them. Thank You.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Praveen G

Infectious Diseases Specialist

Practicing since :2002

Answered : 2448 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask an Internal Medicine Specialist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Does High ESR Level And Fever Mean TB?

Brief Answer: Fever with increased in ESR Detailed Answer: Hello, Welcome to healthcare Magic, I have gone through your present history of illness and medical history. Erythrocyte Sedimentation Rate (ESR) is a marker of infection or inflammation in the body and increases in many infectious conditions. It does not indicate the actual diagnosis and it is not a specific diagnostic test for any infection. ESR is said to be nonspecific because higher values do not locate exactly where the inflammation is in your body.As you are having injury to the rib cage it may also have caused rise in your ESR values. So high ESR alone does not confirm the diagnosis of TB.The pulmonary tuberculosis should be confirmed by sputum smear examination and other types of TB should be confirmed by appropriate test based on the affected organ. As you have mentioned in your history that titres of the typhoid as 1:40 and positive but to call it as positive, titres should be as follows O titre should be 1:100 or more and of H titre should be 1:200 or more. So i suggest you to reconfirm the diagnosis of typhoid by Blood culture. Hope you are happy with my answer, if any further query feel free to post them. Thank You.