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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Does ESR Level Reduce After Treatment With Enlarged Mesenteric Lymph Nodes?

2 weeks back, my son 9 years, complaint pain in lower abdomen and burning urine. Later, he suffered from fever 100 F bad throat. U/S indicates mesenteric lymph nodes are inflamed with larger 21x10mm. Rocephin IV for 3 days were injected. Fever vanishes and WBC & ESR results before & after treatment are: WBC before 28,000/ul and after 10,000 u/l ESR before 40 mm/hr and after 95 mm/hr Why ESR become more after infection is over and what is treatment? Regards/Arshad
posted on Mon, 21 Apr 2014
Twitter Fri, 28 Nov 2014 Answered on
Twitter Mon, 1 Dec 2014 Last reviewed on
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General & Family Physician,  's  Response
Hi
Welcome to HCM
As per your son history , he is suffering from mild fever / Pain abdomen and his ESR is still 95mm/hr ( raised) and wbc 10,000 ( normal)
But his USG abdomen mesentric lymphnode is 21X 10 mm is suggestive for ABDOMINAL TUBERCULOSIS. review with these report to pediatrician or Tuberculosis Doctor for treatment . Duration of treatment is 6 to 9 months according to weight and Only First line drugs. Second line drugs are indicate only after gene expert test.
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Why Does ESR Level Reduce After Treatment With Enlarged Mesenteric Lymph Nodes?

Hi Welcome to HCM As per your son history , he is suffering from mild fever / Pain abdomen and his ESR is still 95mm/hr ( raised) and wbc 10,000 ( normal) But his USG abdomen mesentric lymphnode is 21X 10 mm is suggestive for ABDOMINAL TUBERCULOSIS. review with these report to pediatrician or Tuberculosis Doctor for treatment . Duration of treatment is 6 to 9 months according to weight and Only First line drugs. Second line drugs are indicate only after gene expert test. Thanks