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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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What Causes Elevated ESR Levels In Blood While Having Typhoid?

hello sir, i have been suffering from typhoid fever since last week.i also had a blood test where i found that my ESR is very high and almost touching 40mm mark.is it a worrying sign? or is it controllable? my fever is also fluctuating a lot.sometimes i have normal temperature around 98 degrees for a whole day and next day it again peaks around 100 till 101 degrees.i am also being absent from my work from last week coz of of fatigue and weakness.my company rules are not really lenient for absentees.i am also taking medicine but i want some speedy recovery.sir hoping for some advice from ur side.i ll be really grateful for your act of kindness.
posted on Mon, 11 Aug 2014
Twitter Thu, 14 Aug 2014 Answered on
Twitter Mon, 18 Aug 2014 Last reviewed on
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Continuous low grade fever with raised ESR is suggestive of chronic disease e.g. tuberculosis.
Tuberculosis is usually associated with low grade fever, night sweats, weakness, decreased appetite, tiredness, and fatigue.
The symptoms mentioned by you can be due to typhoid, however, typhoid does not usually cause an elevated ESR level.

I suggest you to consult your primary healthcare provider for clinical examination and relevant investigations.
A Mantoux test and X-ray chest should be done initially.
Management will be decided once the result of the investigations is received.

Thanks and take care
Dr Shailja P Wahal
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What Causes Elevated ESR Levels In Blood While Having Typhoid?

Hello and welcome to HCM, Continuous low grade fever with raised ESR is suggestive of chronic disease e.g. tuberculosis. Tuberculosis is usually associated with low grade fever, night sweats, weakness, decreased appetite, tiredness, and fatigue. The symptoms mentioned by you can be due to typhoid, however, typhoid does not usually cause an elevated ESR level. I suggest you to consult your primary healthcare provider for clinical examination and relevant investigations. A Mantoux test and X-ray chest should be done initially. Management will be decided once the result of the investigations is received. Thanks and take care Dr Shailja P Wahal