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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does High ESR After Pulmonary TB Treatment Indicate?

sir,5 years back i was suffered with pulmonary tuberclosis. Now i am suffering with cough,cold and low grade fever. My family physician was it is relapsed. So, i went to blood test for TB antibodied and complete CBP. My ESR levels also shows high,and TB Iggm shows in border line. So ,please give your advice shall i take treatment for tuberclosis. Than Q sir.

Mon, 17 Aug 2015
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
Don't start treatment only on the basis of blood reports.
ESR (erythrocyte sedimentation rate) is nonspecific marker for tuberculosis. It is actually raised in infection or inflammation. So this is is 100% diagnostic of tuberculosis. Same is true with TB antibodies.
So better to consult pulmonologist and get done chest x ray, CT thorax to see for fresh tuberculosis lesions.
Also get done sputum examination for AFB and bronchoscopy with BAL (bronchoalveolar lavage) analysis for tuberculosis.
If all these are negative for tuberculosis, than no need to worry for tuberculosis and hence no treatment is required.
So don't start anti tubercular drugs. First consult pulmonologist and discuss all these.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.
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What Does High ESR After Pulmonary TB Treatment Indicate?

Thanks for your question on Health Care Magic. I can understand your concern. Don t start treatment only on the basis of blood reports. ESR (erythrocyte sedimentation rate) is nonspecific marker for tuberculosis. It is actually raised in infection or inflammation. So this is is 100% diagnostic of tuberculosis. Same is true with TB antibodies. So better to consult pulmonologist and get done chest x ray, CT thorax to see for fresh tuberculosis lesions. Also get done sputum examination for AFB and bronchoscopy with BAL (bronchoalveolar lavage) analysis for tuberculosis. If all these are negative for tuberculosis, than no need to worry for tuberculosis and hence no treatment is required. So don t start anti tubercular drugs. First consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.