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High sed rate.Diagnosed with pericardial effusion. Blood test suggests pericarditis. Taken motrin. Reason for high sed rate?

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Pediatrician, Infectious Diseases
Practicing since : 2005
Answered : 1528 Questions
7 year old was admitted to ICU after fever for 9 days and chest pain - found pericardial effusion. Blood test came back as positive for adnevirus....soo viral pericarditis. Fluid gone with motrin treatment, went home and continue with motrin every 6 hours. Started weaning her off the motrin at three weeks after fluid gone and fever would spike to 101-102.5

Infectious disease doctor ordered blood (this would be 4 weeks past effusion) - C-reactive and Sed. C-reactive greatly improved, yet sed rate still high. Echocardiagram shows heart is 100% fine. She is now fever free.

thoughts on what is driving sed rate? She has no symptoms - no pain, no rash, no nothing. thanks
Posted Tue, 23 Apr 2013 in Child Health
Answered by Dr. Hema Yadav 4 hours later
Thanks for posting your query.
Please do not worry . It takes about 6-10 weeks or more for ESR levels to normalise post adenovirus infection.
Considering she is otherwise fine there is no reason for concern .A follow up check up after 4 weeks should most probably show a normal ESR . So you can get it retested later ,for your satisfactiom however it's not at all mandatory . I don't think there is a need for any further investigations or treatment assuming your child is a asymptomatic now .
Hope that answers your query.
Feel free to clear any further doubts ,
Regards .
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