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| SPECIALIST ANSWERS
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Question |
Hi, My patient 4 yrs old Male without sigificant past history presented with breathlessness presented in ER , child admitted diagnosed as Empyema and child put on ICD child used to have persistent fever inspite of taking Cultured proven antibiotic Vancomycin and Cefotaxim . Still there is haziness in RLL the CT no sepation or multilpe loci. No mechanical problems with ICD now serous fluid coming. Childs MTx,HIV negative but still fever present shoul;d we start AKT but how to expalin the Negative mountex ?
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Answer |
Was it frank pus? What was the cytology of the pleural fluid and which was the organism grown on pleural fluid? Was it a skin contaminant? You can send a pleural fluid ADA level and TB Bactec culture to get more evidence for Tb before starting the child on AKT.
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