27 yr old girl. Urine protein 4+, serum albumin 2.3 . Bilateral pitting pedal edema. No history of any previous illness. Urine shows pus cells 30-35. Culture revealed klebsiella. Kidney usg only revealed a medical renal disease. No other abnormality. No puffy eyes or no edema other than in the legs. Kindly give ur suggestions.
Hi, thanks for using Chat Doctor The loss of protein due to the kidney infection would have resulted in the edema. The most common causes for pitting edema are : heart disease, kidney disease, liver disease and low protein levels. Klebsiella can cause different type of infections including urinary tract infections. There may be resistance to some antibiotics choose. The initial antibiotics should be choose out of those that are less likely to have an issue with resistance. This would include medication such as ceftriaxone, cefuroxime, gentamicin, quinolones (ciprofloxacin, ofloxacin). In this circumstance where the disease process is complicated these would be best and should be used for 14 to 21 days. If there was no history of loss of protein and edema then a simpler antibiotic regimen would have been suggested. I hope this helps