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Pharyngitis with symptoms of bronchitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   I am 25 year old male. I had recurring soar throat from jan 2010 to aug 2010 (once in a month or 2 months) Throat swab test indicated klebsiella pnuemoniae sensitive only to Co-trimoxazole and Ceftazidime. After taking Co-trimoxazole for 7 days, sore throat had gone. Few days back it has started again. Right now symptoms are : Infrequent productive cough with yellow phlegm,
low grade fever, mild stomach pain below diaphragm, mild chest pain on both sides of chest if pressed with finger.
I am wondering if these are the symptoms of pneumonia. Should I consult a doctor and get a chest xray?
Doctor :   Hi
Doctor :   I am Dr. XXX
User :   Hi
Doctor :   I am reading ur history
User :   Nice to talk to you
Doctor :   Can i know you age and occupation?
User :   age 25
User :   working as XXX
Doctor :   Do you have any medical problem ?
User :   nothing . body is slim. I had tonsilitis during the age 8- 13
Doctor :   Did you had tonsillectomy done?
User :   no
Doctor :   Whcih doctor u consulyed?
Doctor :   *consulted
Doctor :   ENT/General Medicine/Surgeon?
User :   i had consulted general physician and then an ENT
Doctor :   OK
User :   sepmax was the last tablet i had(7 days)
Doctor :   WHat other investgations were done?
User :   ISO titer
User :   sorry ASO
Doctor :   OK
User :   C reactive protein
User :   blood /urine test
User :   xray
User :   ECG
Doctor :   What are the results?
User :   all these were done during the end of July 2010
User :   all the above -ve
Doctor :   Good
User :   throat swab was taken and klebsiella was found
Doctor :   Are you sexually active?
User :   no
Doctor :   Does any family members has any problems?
User :   klebsiella strain was resistant to almost all common antibiotics
Doctor :   Does any family members has any problems?
User :   no problem in the family (no diabetis, no hypertension)
Doctor :   Did they do the culture and sensitivity results?
User :   yes
Doctor :   What was the bug sentive for?
User :   co-trimoxazole and ceftazidime
Doctor :   Ok
User :   this time i am not sure if it is the same bug
Doctor :   Now The 7 day course of antibiotics were not enough and you again had throat infection, and possibly bronchoitis
User :   looks like you are right
Doctor :   You again need, CBC, Differential count, Chest xray and throa swab and culture sensitivity
Doctor :   You need to do them ASAP and staret anibiotics ASAP
Doctor :   It may end up in severe Penumonia
Doctor :   I recommned you continue the antibiotics for minimum 20 days and then again get the thraot sawb done
User :   got it. my worry is what is the next antibiotic available?
User :   Do you recommend any doctor in bangalore?
Doctor :   Right now you have Pharyngitis, bronchitis/Pneminia
Doctor :   Let me search
Doctor :   Go to the nearest hospital and seek help from General Medicine physician. Carry all your previous labs
Doctor :   Where in Bengalore you live?
User :   XXX
User :   are you consulting in bangalore?
Doctor :   y
User :   in case you know someone personally it will be helpful
Doctor :   I will advice you see the same doctor who previously gave the treatment
User :   ok
Doctor :   He will better understand the problem.
User :   ok will do that tomorrow
Doctor :   Were the tonsils infected at that time?
User :   yes
Doctor :   Did the ENT advised Tonsillectomy after the course of antibiotics?\
User :   yes if tonsilitis is seen again
User :   but now tonsils look clean
Doctor :   OK
Doctor :   Did answer ll ur querries?
Doctor :   *All
User :   is the mild pain on the side of chest related to pneumonia?
Doctor :   Yes
User :   it is on the upper rib cage close to the shoulder joints
Doctor :   it happens both from bronchitis and penmonia
Doctor :   It is on the upper rib cage close to the shoulder joints : what do you do with this information?
User :   i meant the location of pain
User :   that's all.. thank you very much
Doctor :   You welcome
Doctor :   Thank you for consulting
User :   bye
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