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Which Infection Causes High ESR?

Published in Infections and Inflammation 2 mins read

Many types of infections can cause a high erythrocyte sedimentation rate (ESR). A high ESR indicates inflammation in the body, and infection is a common cause of this inflammation.

Types of Infections Associated with High ESR

Several categories of infections are linked to elevated ESR levels:

  • Bacterial Infections: Bacterial infections, whether localized or systemic (body-wide), trigger an inflammatory response that increases ESR. Examples include severe skin infections like erysipelas and systemic infections like sepsis.

  • Viral Infections: Viral infections also stimulate inflammation and can lead to a high ESR. The body's immune response to the virus contributes to this elevation.

  • Fungal Infections: Fungal infections, similar to bacterial and viral infections, can cause a rise in ESR due to the inflammatory reaction they provoke.

  • Parasitic Infections: Parasitic infections can also result in increased ESR levels. The body's immune response to the parasite contributes to the overall inflammatory state.

Understanding ESR and Infection

The ESR test measures how quickly red blood cells settle in a test tube. In the presence of inflammation, proteins in the blood cause the red blood cells to clump together and settle faster, resulting in a higher ESR. Infections are a major cause of inflammation, hence the association between infection and elevated ESR.

It's crucial to remember that a high ESR alone doesn't diagnose a specific infection. It's a nonspecific marker of inflammation. Further testing is necessary to pinpoint the underlying cause. Other conditions, such as autoimmune diseases, cancers, and tissue injury, can also elevate ESR.

Examples of Infections Potentially Causing Elevated ESR (as mentioned in provided references):

  • Bodywide (systemic) infection
  • Bone infections
  • Infection of the heart or heart valves
  • Rheumatic fever
  • Severe skin infections (e.g., erysipelas)
  • Tuberculosis

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