i am 50 yrs old , man , diabetic on oral drugs
since 3 yrs I got pericardial effusion , which resolved partially and increased then i had it aspirated since 3 month , fleuid showed no malignancy , PCR for TB negative , no other microorganisms.
sinc one month i had my ESR elevated (130) which was basically 60-70 ist hour , Creative 6 ( n=0.6) , low grade fever , anemia , lymphocytopenia ( absolute no =800) , I did antinuclear AB which was -ve (9) , anti body titer was IgE=17 (n=1800)
Is it an infection or auto immumity , and what to do else??
thank you