68 year old , having diabities.Suffering from low frade fever since last 15 days. CBC results show higher ESR (70%).Chest X ray and CT Scan , LFT all normal.Widal Test has come positive on repeat test. Seek Help!

Question (Posted on :  26 Dec 2008 )


68 year old , having diabities.Suffering from low frade fever since last 15 days. CBC results show higher ESR (70%).Chest X ray and CT Scan , LFT all normal.Widal Test has come positive on repeat test. Seek Help!

Doctor's Response (Posted on : 26 Dec 2008 )


A high ESR count is seen in number of infections and diseases, so it is non-specific. Widal test is used to evaluate enteric fever or Typhoid. A single positive widal test is less meaningful, the best postive diagnosis will be rising titers on a repeat test. At this point we can not rule out Malaria as a possibility. Treatment of typhoid in diabetics is not different though you will have to be careful with risk of other infections.



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