Krista E. is a 41-year-old female seen in the office with fever, shaking, chills
ID: 67399 • Letter: K
Question
Krista E. is a 41-year-old female seen in the office with fever, shaking, chills, coughing, increasing SOB, and increasing fatigue. Symptoms began 24 hours ago. The region in which you are practicing is experiencing peak flu season. This patient did not receive influenza vaccination.
Given a presumptive diagnosis of influenza and a positive flu swab you initiated oseltamivir 75 mg PO bid x 5 days. She 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.
A PA/LAT chest xray reveals a left lower lobe consolidation representative of pneumonia.
How would you treat her?
Explanation / Answer
Consolidation represents about the occurrence of pneumonia, might the airspace in the lungs is refilled with fluid. If the upper respiratory tract is affected with viral influenza, commonly the lower respiratory tract also becomes affected. The pneumonia is due to a bacterial attack. It could be treated with antibiotics. Before that the sputum of the patient should be checked to identify the causative strain of bacteria. Culture sensitivity report should be taken to treat with antibiotics such as ampicillin or cloxacillin.
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