I am a 25 year old female, with 30kg weight loss and discomfort in the upper lobe of my left lung. My ESR went from 18 to 95 with mild neutrophilia, CRP level went from 29 to 37 and Platelets from 292 to 530. A CXR revealed a left upper lung lesion. I am a smoker with a slight smokers cough with only minimal sputum production and no haematemesis. My Doctor is stumped as i don't look unwell apart from the weight loss. Any ideas?
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replied May 13th, 2009
elevated crp and weight loss
There are several causes of an elevated CRP-usually infection, inflammation or, sometimes, malignancy.
You have also had weight loss-I hope by now your doc has ordered a full body CT, PET or MRI scan and done a lung biopsy of the lesion.
If you have not returned to a doctor, please seek medical help immediately!

Laurie C R.N.
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replied May 13th, 2009
Re: elevated crp and weight loss
Thank you for taking an interest in my case. My GP referred me to a Chest Specialist and he is 99% sure that i have Tuberculosis. I had a bronchoscopy and the smear came back negative, but he is still certain it's TB. I am now waiting on the result of my cultures. He also said that i have green pus in the cavity, which made it easy to get samples. I have developed a slight cough, but am otherwise in good health. I have to have another CXR and return in a month. He said the only other things it could be would be even rarer than TB.
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replied May 13th, 2009
elevated CRP and weight loss
Good luck to you, dear..if it is TB it is certainly treatable. But you also are probably very contagious-did he give you any instructions about preventing the spread to others?

Please let me know what happens-I want to hear that your doctor has done everything necessary to get a diagnosis and treat what ever it turns out to be.

Again, best wishes,

Laurie
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