Thanks for the query to H.C.M. Forum.
If I were your mother's treating doctor for this case of severe pneumonia
? I would come up with these possibilities , these includes.
1 Pneumonia , as diagnosis confirmed by Xray lung and physical and clinical history of patient . Usually pneumonia resolves within first 5 days . Usually I prescribes treatment for 14 - 28 days , so as diagnosis is evaluated so wait for some more days.
, diagnosis can be confirmed by clinical , physical , X ray
, sputum examination . In this case all indication are of tuberculosis so please consult one more physician and get his opinion . As you mentioned that there is still fever
present with pain , so chances are more . Diabetes
is one more predisposing factor for tuberculosis.
3 Lobar pneumonia
is one more and another cause , diagnosis can be confirmed by M R I . Clinical history is also important .
In my opinion consult pulmonologist and get his opinion ( 2nd) before this turn into tuberculosis .
Patient is diabetic and has hypertension
so consultation is very important as early as possible.
Good luck. Dr. HET