Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
153 Doctors are Online

Will azithromycin be effective for pertussis treatment when suffering from bronchitis?

User rating for this question
Very Good
Answered by

Pulmonologist
Practicing since : 2003
Answered : 598 Questions
Question
Hi have had cough for 3 wks comes in fits rarely feel like im going to pass out. No fevers but fatigue. No significant sputum.had ct of chest showed one lobule involvement in left lower lobe with tree in bud appearance. Originally put on ceftin then doxy no change. Developed expiratory wheezing and some high pitched sounds after coughing. Xopenex mdi relieved wheezes in 3 days. My pcp thought azithromycin as he thought i may have pertussis. Awaiting results of culture and pcr. Problem was i was on multaq for parox afib i get one bout per year. Only took it for 8 days been off of it for 7 days. Question since ct showed bronchiolitis for sure and questionable interstitial pneumonia will azithromycin be effective for treatment of the pertussis if in fact this bug is the source of my problem? And since ive had symptoms for 3 weeks will the antibiotic be helpful in treating the infection? Thx
Posted Wed, 22 Jan 2014 in Lung and Chest disorders
 
 
Answered by Dr. Gyanshankar Mishra 1 hour later
Brief Answer: Antibiotic needs to be as per culture report. Detailed Answer: Hi, Thanks for posting the query on XXXXXXX After going through your query, I would like to comment the following: 1. You seem to be suffering from infective bronchiolotis. 2. A 3 weeks course of antibiotics, inhaled and oral bronchodilators should provide relief. 3. A bronchoscopy may help and Bronchial washings may be required to be sent for evaluation including culture sensitivity. 4. Blood investigations including complete counts and differential counts will be required and so will be a PFT. 5. Its better to titrate the antibiotic as per culture sensitivity report and till then a broad spectrum antibiotic may help. 6. Taking antibiotic on and off with gaps in between is not recommended, rather a continuous 3 week course of antibiotic which is titrated as per reports, is recommended. Clarithromycin or amoxicillin clavulinc acid should be a reasonable choice but the final choice depends with your pulmonologist. I hope I have answered your query. I will be glad to answer follow up queries if any. Please accept my answer if you have no follow up queries. Regards Dr. Gyanshankar Mishra MBBS MD DNB Consultant Pulmonologist
Above answer was peer-reviewed by
 
Follow-up: Will azithromycin be effective for pertussis treatment when suffering from bronchitis? 2 days later
Now on avelox feel better knife like pain though under rib cage sore to touch hurts worse when coughing pft showed mod restrictive pattern also heart rate in low 60's usually in high 40s off corticosteroids and havent used xopenex in 24 hrs not sure what to do thx
 
 
Answered by Dr. Gyanshankar Mishra 12 hours later
Brief Answer: Continue avelox full course. Detailed Answer: Hi, Thanks for the follow up. After going through the query, I would like to comment the following: 1. Continue avelox and you can take xopenox twice a day for 14 days. 2. If chest pain is there, an analgesic can be taken for symptomatic relief. 3. After 2 weeks, reassessment can be done and a xray chest can be repeated. I hope I have answered your query. I will be glad to answer follow up queries if any. Please accept my answer if you have no follow up queries. Regards Dr. Gyanshankar Mishra MBBS MD DNB Consultant Pulmonologis
Above answer was peer-reviewed by
 
Follow-up: Will azithromycin be effective for pertussis treatment when suffering from bronchitis? 2 hours later
Influenza a and b screen came back negative. Sent another for h1 n1 . Also repeat ctscan showed mild worsening of same pattern if this is h1n1 pneumonia and ive had symptoms for close to 4 wks will this progress to resp failure or do i have a better chance of resolution. Thx
 
 
Answered by Dr. Gyanshankar Mishra 2 hours later
Brief Answer: Empirical treatment can be started. Detailed Answer: Hi, Thanks for the follow up. After going through the query, I would like to comment the following: 1. If there is a suspicion of viral pneumonia, then empirical oseltamavir can be given for 5 days. In absence of any cold symptoms, H1N1 seems to be less likely. 2. An addition of antibiotic for atypical coverage can help. 3. At present it is difficult to predict the course but worsening after 4 weeks of symptoms seems less likely. 4. Just check if your physician is planning a bronchoscopy. I hope I have answered your query. I will be glad to answer follow up queries if any. Please accept my answer if you have no follow up queries. Regards Dr. Gyanshankar Mishra MBBS MD DNB Consultant Pulmonologist
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication

The user accepted the expert's answer

Ask a Pulmonologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor