What causes high fever and high esr?
Patient: had a high fever 103 degree F accompanied by shivering,...blood and urine tests done, malaria infection negative, no infection seen in the urine sample,  but the blood report shows a high ESR of 60, and a Total Count(TC) of 15,800 which is above the range.. the patient is experiencing weakness and palpitation... please enlighten on this... Doctor: Hellohigh esr count indicates infection specially TUBERCULOSIS...get his detailed evaluation for tuberculosis i.e TB