My mother who is 61 yrs old is suffering from mild fever from past one month. Her ESR and CRP was 110 and 18 respectively, approximately a month back, now it is 104 and 14 respectively. her Montoux test result is also positive. prior to all this she was suffering from urine infection and was hospitalized also. Does all this indicates towards tuberculosis? If yes, then of which part, as in, her lungs X-ray came out fine, so what it can be?
Hi thanks for contacting Chat Doctor...ESR and CRP are non-specific marker that are elevated in any chronic inflammation, infection or malignancy ..... Elevated ESR not specific for TB .... Here as chest x-ray clear chance of TB less. Although months test positive it is not for TB diagnosis, it is for checking immunity against TB.... For rule out TB do your sputum AFB microscopic examination and sputum culture..... Detail physical examination done to look for causes.... Vasculitis also has to be ruled out biopsy.... Preliminary investigate with CBC, LFT, FT .... Consult physician with keeping these in mind ... Take care.