Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
156 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest treatment for pneumonia

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14571 Questions

default
Posted on Tue, 16 Jun 2015 in Infections
Question: Given a presumptive diagnosis of influenza and a positive flu swab oseltamivir 75 mg PO bid x 5 days was initiated. Patient slowly improves over the next 5 days but then relapses and returns with a fever, fatigue, cough and mild dyspnea a little over a week following the last appointment. She is not aching nor does she have other complaints. What is your differential diagnoses now and your next diagnostic steps?
A PA/LAT chest xray reveals a left lower lobe consolidation representative of pneumonia. How would you treat her?
doctor
Answered by Dr. Kaushal Bhavsar 28 minutes later
Brief Answer:
She is mostly having bacterial pneumonia.

Detailed Answer:
Thanks for your question on HCM.
I can understand your concern.
Lower respiratory tract infection (LRTI) is common after viral upper respiratory tract infection (URTI).
And bacterial infection is the most common cause for LRTI.
Since she is having consolidation on chest x ray with fever and mild breathlessness, possibility of bacterial pneumonia is more in her case.
So she needs antibiotic treatment.
She should get done sputum culture and sensitivity report for identification of causative bacteria and starting of appropriate antibiotic treatment.
So consult pulmonologist and discuss all these and start appropriate antibiotic treatment.
Hope I have solved your query.
I will be happy to help you further.
Wishing her good health.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication
Lab Tests
Medical Topics

Recent questions on  Sputum culture

doctor1 MD

My husband had a splenectomy and a colectomy in 2006. He has had a chronic productive cough since that time. He was hospitalized in jone 2011 with...

doctor1 MD

chronic severe iching of roof of mouth and scrodum and aweful smelling /tasting stuff when I cough sometimes. Past bad Lyme Disease with Bells...

doctor1 MD

I always have minor cold . Kindly help!

doctor1 MD

I have bilateral mild bronchiectasis . I was on kevlex last week, and when that did not seem to do the job, my dr. put me on oxycyline. Today is...

doctor1 MD

hello,i waana ask abt my father...actually his skin test for tb infection came negative,then sputum test too was negative,after bronchoscopy doctor...

doctor1 MD

Hello, am 29 yr old lady with 165cm height and 64kg weight.my pa chest x-ray showed a calcification in right apex of lungs.i never had any symptoms...

doctor1 MD

AGe 65, female, height 5 ft 7 1/4, weight 147. I have had bronchiectasis for about 20 years, and cough lots of sputum, often yellow, and several...