Doctor insights on:
Esr In Tuberculosis
Yes it does: Any infection or chronic inlammation will make the ESR rise. It is very common to see high ESR if you have active tb. But it is not diagnostic of TB as there are many other conditions like chronic arthritis or even some cancers which can increase the esr. So you need a good check up to find the cause. ...Read more
Mycobacterium tuberculosis is an infectious organism that spreads by droplets coughed out by an infected person. Infection is established initially in lungs, but can spread within lungs & to other body parts, or can become latent, with reactivation occurring years to decades later. With effective treatment, it can be completely eliminated although drug resistant ...Read more
CT result-Thorax extensive mediastinal lympopathy with central caseating ,TB lymphopathy to consider skin,blood culture negative it is TB disease?
Caseating granulomas: This sounds like tuberculosis, but may conceivably be systemic fungal infection like Histoplasmosis, rarely lymphoma or sarcoidosis. In India this is probably TB and either should be treated empirically or wait for the results of the biopsied lymph nodes. Sounds as if your doctor is very astute and would heed their advice. Best wishes. ...Read more
It can: It depends on how acute the infection is, how severe, and what stage of illness it is. But an acute untreated infection could show a rise in CRP. In an infection that is being actively treated appropriately, the CRP should not be continuing to rise or stay high. If it is high, there is likely another cause or the TB is not being treated. ...Read more
No: Sed rate (erythrocyte sedimentation rate / ESR) is a famously poor guide to the presence or absence of disease. There are a few rheumatologic diseases in which it's almost always high and this helps rule out ordinary aches and pains. And the test is easy to do wrong. Don't set much by this lab result, despite the fact that there's inflammation in MS plaques in the active phase. ...Read more
It can occur.: First, make sure you are not ccp antibody positive. If you are, your rf is irrelevant. Pulmonary fibrosis can occur in psoriatic arthritis and spondylitis, as well as a number of connective tissue diseases. Does anyone in family have psoriasis? Also, it can occur as a rare reaction to methotrexate. Are you being treated with this? Hope these points help. ...Read more
The best indicator: CRP is called an acute phase reactant because it can increase in response to acute conditions. The common belief is that CRP is the best objective indicator of inflammation. Some rheumatologists believe that it’s the only dependable inflammatory indicator for RA and other. ...Read moreSee 1 more doctor answer
Encounter to TB: If there is a sign of remote granulomatous disease in your lung, it means that the radiologist saw some calcification in your xray. The majority of these cases means that patient at some point was infected with tuberculosis, but her or his body controlled the infection. There are other granulomatous diseases beside tuberculosis infection such as histoplasmosis which is endemic in some areas of usa. ...Read more
Many thinks: Erythrocyte sedimentation rate.High c-reactive protein.High anti-nuclear antibody.High rheumatoid factor cold be present cyclic citrullinated peptide (ccp). Like the rheumatoid factor, the ccp is another antibody that may be found in the blood of adults with rheumatoid arthritis. ...Read more
That's silly stuff: Fibrinogen contributes to the streamlining of rouleaux formations that speed the settling of red cells, but it is not the only factor and a sed rate of zero is a lab error. Plus, these rare unfortunates are continually under treatment and have transfused fibrinogen. I found this as an anonymous question on a study site and it's not true. Sed rate is nonzero in a few published cases. ...Read more
Age 65, NHL in remission, Persistent cough. Sputum culture: Mycobacterium other than tuberculosis. Place suggest next steps.
Is it IgE: I assume you are referring to ige rather than IgA levels. High levels of ige in a patient with uncontrolled asthma raises the suspicion of churg-strauss vasculitis. Talk to your doctor as intensive medication regimen is indicated if it is truly the cause. A pulmonologist /rheumatologist would be the one to talk to. ...Read moreSee 1 more doctor answer
What the tuberculosis bacteria show in blood culture (fever investigation) blood collect in normal body temperature.
Tb: Tb will usually not be detected on regular blood cultures, but if you have active pulmonary tb, then chest X-ray would be the first step ...Read more
Tuberculosis vaccinated, TB test positive...Will my ANA be positive because of TB test positive due to vaccine?
What could cause chronic joint pain (most joints) in otherwise healthy 25 yo male? Rf, ana, treponema pallidum, sedimentation rate all normal.
Inflammation: Inflammation has many possible causes. There is the possibility of seronegative RA (ra test is negative); given that all of your tests are negative focus on nutritional causes. Stop all acid intake especially sodas; increase antioxidant intake and herbal antiinflammatories and a new product on the market that has been shown to reduce oxidative stress to near nothing. www.medacpc.com for more. ...Read moreSee 1 more doctor answer