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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Rheumatic Fever, Taking Penidure La 12, Having Back Pain, Swollen Ankle, Non Hemolytic Streptococcus. Can Take Penidure? Suggestion?

I have chronic rheumatic fever since i was 12 years old. Now I am 37. I am taking regularly penidure LA 12. Now I am suffering from back pain, severe hip pain , ankle pain and knee pain . there is swelling of ankle and knees. I had done HLA B27 test and it was found positive while ACCP was negative. CRP was positive ASO negative ESR 35. CBC normal. I had also did culture of throat swab and non hemolytic streptococcus was found which shows resistant to several antibiotics like penicillin, erythromycin but sensitive to vancomycin and levofloxacilin. I am taking diclofenac sodium 50 mg now. so should i take penidure and how can i get relief from pain. kindly suggest me
Fri, 28 Mar 2014
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Rheumatologist 's  Response
Dear Madam,

You will need DMARDS or biological drugs like infliximab for this condition . You can take inj. penidura with it .

Dr. Shruti
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Chronic Rheumatic Fever, Taking Penidure La 12, Having Back Pain, Swollen Ankle, Non Hemolytic Streptococcus. Can Take Penidure? Suggestion?

Dear Madam, You will need DMARDS or biological drugs like infliximab for this condition . You can take inj. penidura with it . Dr. Shruti