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Fever, chronic UTI, mouth ulcers, elevated ESR, suspected to autoimmune disease. Diagnosis and treatment?

Hi I am pharmacist in Iraq I have female 12 yr with fever and chronic UTI in addition to mouth ulcers all lab data are normal except ESR=120, here doctor said that it is mostly autoimmune disease but he can not sure dignosis many antibiotic used but the urine culture still positive and fever still there is some improvement when add prednisolon to here treatment I need to know the possible disease and how diagnosed
Asked On : Sat, 15 Dec 2012
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  User's Response
Well come to HCM
I really appreciate your concern, if this is suspected case of Urinary tract infection then better to get done the culture sensitivity test for right choice of drug and cure, because in female UTI does not comes around easily, giving steroid in suspected case of infection is not advisable this could flair up the infection and may create complication, differential diagnosis need to be take in consideration, and for this all the routine tests need to be done, autoimmune disease may not be cause, hope this information helps, take care.
Answered: Wed, 3 Dec 2014
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