Non resolving pneumoniae
Author: krishanu mondal
Question.
A 5 months old girl born by non consanguineous marriage presented with low intermittent fever with cough and respiratory distress for last 15 days. She was term, normal delivery, neonatal period was uneventful. No previous major illness or hospitalisation. Vaccinated upto the age. No history of contact with tuberculosis.

On examination: heart rate-150/min, respiratory rate - 65/min
chest- bilateral crepitus and rhonchi heard. Intercostal and subcostal retraction were present. Other system examination revealed no abnormality.
Chest x ray showed bilateral dense infiltrates.
She was put on meropenem and teicoplanin. Nebulization and oxygen were also administered. Her condition did not improve with this treatment. Inj clarithromycin was also added after 3 days. But her condition worsened during the next 7 days, and she was put on mechanical ventilation.
Answers of this discussion
Author :- amit yerte on 23 November 2014.
Answer :- Ards

Author :- fouzia ali on 24 November 2014.
Answer :- pulmonary tb

Author :- rafia on 25 November 2014.
Answer :- cystic fibrosis or alpha anti trypsine definicy

Author :- asma razzaq on 25 November 2014.
Answer :- Non resolving pneumonia Immunodeficiency

Author :- rafia on 27 November 2014.
Answer :- alpha anti trypsine defincincy7

Author :- zainul Gagan on 27 November 2014.
Answer :- intersitial lung disease

Author :- taha esseissah on 29 November 2014.
Answer :- pneumonia

Author :- Assem Sarwat on 30 November 2014.
Answer :- pneumonia

Author :- ahmed al hassi on 30 November 2014.
Answer :- ithink of MRSA pneumonia

Author :- anantan on 01 December 2014.
Answer :- severe adenovirus pneumonia

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