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Am I Suffering From Tuberculosis If I Get Frequent Fever?

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Posted on Fri, 4 May 2012
Question: I'm getting frequent viral fevers
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Follow up: Dr. Dr. Rakhi Tayal (6 minutes later)
Mantoux test Positive
X-Ray Chest - Normal Study
Anti-streptolysin O (ASO) 197.5
CRP - 119.11 (Normal < 5)
ESR - 94 mm (Normal 01 - 10 )
WBC Count - 0000 (Normal 4000 - 0000)
Mycobacterium tuberculosis - IgG - 1032 (Positive > 900)
Mycobacterium tuberculosis - IgM - 0.2 Ratio (Positive > 1.2 Positive)

Am I suffering TB ?

doctor
Answered by Dr. Dr. Rakhi Tayal (25 minutes later)
Hello.
Thanks for writing to us.
Having recurrent fever with high WBC count, Increased CRP & ESR with mycobacterium IgG positive is indicative of only an old tubercular infection. In a recent infection, IgM should have been positive. You are more likely to be suffering from a bacterial infection rather than viral infection. For further diagnosis it is best to have a blood culture to rule out septicaemia and widal test to rule out typhoid fever.
Raised WBCs are not likely to be due to recurrent viral infections. Mantoux test can be positive if you have a history of having tuberculosis in the past.
I hope you have found my answer and recommendations to be both adequate and helpful. Should you have additional questions I am available to address them.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (13 days later)
Thanks for your timely reply madam.

Recently I undergone some test, typhoid fever is negative and

CT Abdomen and Pelvis shows

SIGNIFICANT RETROPERITONEAL,ME SENTRIC, BILATERAL IILAC AND RIGHT INGUINAL LYMPHADENOPATHY
NO EVIDENCE OF ASCITES
SPLENOMEGALY
MILD HEPATOMEALY
THE DIFFERENTIAL INCLUDE
TUBERCULOSIS
LUMPHOMA

I don't have any Mantoux test can be positive if you have a history of having tuberculosis in the past.
doctor
Answered by Dr. Dr. Rakhi Tayal (7 hours later)
Hello,

Thanks for writing again.

Abdominal lymphadenopathy with hepatosplenomegaly can be due to both tuberculosis or some blood related disorder or lymphoma. A FNAC or biopsy of the lymph node will confirm the diagnosis.

Hope I have answered your query.

Wishing you an early recovery.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14041 Questions

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Am I Suffering From Tuberculosis If I Get Frequent Fever?

Mantoux test Positive
X-Ray Chest - Normal Study
Anti-streptolysin O (ASO) 197.5
CRP - 119.11 (Normal < 5)
ESR - 94 mm (Normal 01 - 10 )
WBC Count - 0000 (Normal 4000 - 0000)
Mycobacterium tuberculosis - IgG - 1032 (Positive > 900)
Mycobacterium tuberculosis - IgM - 0.2 Ratio (Positive > 1.2 Positive)

Am I suffering TB ?