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My doctor phoned me today to say my blood Erythrocyte Sedimentation Rate (ESR) test came up high and suggested that there is an infection in my body that is non specified. He recommended that an HIV test should be done given my exposure. I was really devastated by this information which suggested there is a problem, and given the good state of my health before my exposure and then PEP treatment for 27days. Tests for kidney and liver function were all normal.
Here is an extract I found
(A common cause of elevated ESR is infection and other causes include malignancy, collagen vascular diseases, rheumatic heart disease, and other chronic disease states, including humans with a positive HIV antibody test. Even asymptomatic, non-anaemic HIV positive individuals may have an increased ESR and the test may be predictive for disease progression)
My question is given the high ESR results is a positive HIV results now more likely?
Really would appreciate your rationale on this. I have read various extracts on this including
under when ERS is ordered by a physician?
Thanks a lot for your comment and really appreciate your input.
I agree with your view point which is generally correct except when dealing with a healthy individual that has recently been exposed to HIV through unprotected sex with an infected individual, then a very high correlation between elevated ESR and HIV infection can not be excluded.
However, I disagree with your analogy because a headache can come and go in a day or so, even less. However an elevated ESR (especially when very high >40 say) takes a several weeks to build up and is usually caused by a sustained sickness in the body. Healthy individual don't get this without an underlying problem.
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