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20 Possible Causes for Elevated Sedimentation Rate, Positive Widal Test

  • Rare Form of Salmonellosis

    Complete blood count in patients with typhoid fever may show anemia with elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), low platelet and lymphocyte[] Liver enzymes and serum bilirubin levels may be elevated.[]

  • Typhus

    A tetrad of reported laboratory abnormalities consisting of elevated liver enzymes, lactate dehydrogenase, erythrocyte sedimentation rate and hypoalbuminemia was detected.[] Laboratory testing revealed an elevated erythrocyte sedimentation rate (49 mm per hour; normal range, 0 to 20) and increased levels of C-reactive protein (120.5 mg per liter[]

  • Vertebral Osteomyelitis due to Salmonella

    The erythrocyte sedimentation rate was elevated consistently. Stool and blood cultures were positive in 1 and 2 cases, respectively.[] Laboratory studies may reveal peripheral leukocytosis and an elevated erythrocyte sedimentation rate (ESR).[] The patient's blood culture was negative but the Widal test was positive at titres TO and TH 640.[]

  • Splenic Abscess

    His blood counts and biochemical parameters were within normal limits except elevated erythrocyte sedimentation rate (ESR) (60 mm/h Wintrobe's method).[] Widal test was found to be positive. Ultrasound and CT abdomen revealed multiple abscesses in spleen.[] Widal test is only moderately sensitive with positivity in 65-70% of culture proven typhoid cases. [6] Our patient presented with fever, abdominal pain, and splenomegaly.[]

  • Renal Abscess

    Initial elevation of C-reactive protein or erythrocyte sedimentation rate, when obtained, was observed in 80% of cases.[] Widal came out to be positive for S. typhi (O and H antigens in the titer of 1:320).[] However, we managed to do the Widal test on his serum sample, which was stored in the lab following renal function tests.[]

  • Pericholecystic Abscess

    The youngest patient with gallbladder perforation was a male aged 14 years who had an enteric etiology proven by tissue culture and positive Widal test.[]

  • Perinephric Abscess

    Widal test was performed from the stored serum sample.[] The test was found positive with the titer of 1:320 against Salmonella typhi flagellar (H) and somatic (O) antigens.[]

  • Gallbladder Perforation

    rate Elevated levels in any of these tests, along with positive symptoms and signs or imaging studies showing gallbladder disease, could indicate gallbladder inflammation[] Pre-operative diagnoses of typhoid enteric perforation were made based on a positive Widal test.[] Widal test, performed three days prior to admission, was positive for Salmonella typhi ‘O’ and ‘H’ in 1:320 dilution and for Salmonella paratyphi ‘AH’ in 1:160 dilution.[]

  • Polyserositis

    The patient had elevated erythrocyte sedimentation rate (ESR), increased C-reactive protein (CRP) and normocytic anemia.[] Normal • S. creatinine 0.8 mg, dl • Widal test Negative • Stool Normal • USG Abdomen Bilateral pleural effusion with ascitis and gall bladder wall thickening. • Dengue IgM[] The laboratory findings were those accompanying nonspecific inflammations such as leukocytosis, accelerated enythrocyte sedimentation rate, elevated antistreptolysin titer[]

  • Pyomyositis

    Laboratory studies were significant for leukocytosis, mildly elevated erythrocyte sedimentation rate and creatine phosphokinase, and negative blood cultures.[] Results from a Widal-Wright test and blood culture were negative. Results from a urine analysis were normal.[] Local signs of inflammation, fever, leukocytosis and elevated erythrocyte sedimentation rate are common features. [3] , [4] , [5] , [8] The CK may be normal or mildly elevated[]

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