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Elevated ASO level with trace edema. On antibiotics. What can help?

My Daughter has elevated ASO level with trace edema to bil ankles with pain to feet and ankle when wt bearing she is in Texas I am in New Hampshire she has been put on antibiotics for 1 month I am an Lpn with limited knowledge of strept and ASO levels where can I find reliable information I need to find out what antibiotic and what the ASO level was she doesnt retain info well I will get back to you thank you for your time
Asked On : Sat, 26 Jan 2013
Answers:  2 Views:  37
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Internal Medicine Specialist 's  Response
Thanks for using Healthcaremagic,
Your daughter suffered streptococcal infection which is reflected by elevated ASO titre, after infection Rheumatic arthritis can occur.
This group of bacteria is mostly sensitive to penicillin and if there is intolerance to antibiotic then macrolide antibiotic like erythromycin is commonly used.
In her case other clinical features needs to be correlated to make final diagnosis.
In Rheumatic arthritis drugs like aspirin and NSAID are commonly used.
Even prophylactic antibiotics may be required in such cases.
Please consult your Physician to get proper prescription.
Hope this information is useful to you.
Take care.
Good Luck.
Dr.Akhilesh Dubey M.D.
Answered: Wed, 10 Jul 2013
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Pathologist and Microbiologist Dr. Shailja Puri 's  Response
Hello and welcome to HCM,

Before answering your query, I would like to give you a brief overview about the disease process.
ASO titre stands for anti streptolysin titre. ASO is elevated afetr infection with bacteria called Streptococcus hemolyticus.
When infected with streptococcus, the antibodies are directed against the bacterial protein products.
Some cardiac protein structures have structure which mimicks the bacterial proteins.
These antibodies react against the cardiac proteins causing damage to the heart especially the cardiac valves.
This same bacteria also causes damage to the kidneys (the glomeruli).
The damage to kidneys leads to leakage of proteins more than that allowed by normal functioning kidneys.
This leads to swelling / edema initially around the eyes and then rest of the body.
Since, the infection is caused by a bacteria, antibiotics are the mainstay of treatment.
You need to consult your physician for clinical examination, relevant investigations and management.

Thanks and take care
Dr Shailja P Wahal

Answered: Wed, 10 Jul 2013
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 1 user finds this helpful

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