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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Low Grade Fever, Joint Pain, Weight Gain, Urine Culture Showed Klebesiella, Normal CT, Negative SLE, USG Showed Scarring In Kidney. Analysis?

hi i m 23 years old suffering from low grade fever and joints pain associated with fever for last three months. my doctor adviced me to check 24 hours urine for protien thatt was 3 gm initially but day by day it resolved now it is about 413mg/24hr . my T4 level is 1.12ug/dl, TSH is 4.66 and my prolactine is 42.8. urine culture showing klebsella pneumoni, problem is this i m gaining wait, and low grade fever is persisting still. SLE is negative , my ct scan is normal, usg showing scarring in right kidney what u suggest to whom should i b treated first? and what disease i m suffering from?
posted on Mon, 10 Sep 2012
Twitter Mon, 10 Sep 2012 Answered on
Twitter Mon, 10 Sep 2012 Last reviewed on
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  User's Response
scar of kidney usually seen with increase in urine protein ,sreum creatnine...most commonly seen with diabetic patient
so u should get done ur all investigation first
renal function test to check for elevation fo creatinine
liver function test to check s.protein
and urine protein 24hrs
treatment
will be better plan after investigation done
watch for blood pressure and urine output

opinion by
nephrologist
urologist
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Low Grade Fever, Joint Pain, Weight Gain, Urine Culture Showed Klebesiella, Normal CT, Negative SLE, USG Showed Scarring In Kidney. Analysis?

scar of kidney usually seen with increase in urine protein ,sreum creatnine...most commonly seen with diabetic patient so u should get done ur all investigation first renal function test to check for elevation fo creatinine liver function test to check s.protein and urine protein 24hrs treatment will be better plan after investigation done watch for blood pressure and urine output opinion by nephrologist urologist