Uncontrolled Diabetes Mellitus Active bacterial or viral (viral Hepatitis and HIV) or fungal infection Positive more than 0.5 Procalcitonin or positive bacterial and fungal culture of any specimen of body Sever Electrolyte disturbance History of severe reaction to Steroidal products Active Gastrointestinal bleeding

Uncontrolled Diabetes Mellitus Active bacterial or viral (viral Hepatitis and HIV) or fungal infection Positive more than 0.5 Procalcitonin or positive bacterial and fungal culture of any specimen of body Sever Electrolyte disturbance History of severe reaction to Steroidal products Active Gastrointestinal bleeding