4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Hi, My patient 4 years old male without significant past history presented with breathlessness. In ER, child was admitted and diagnosed as Empyema. The child was 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 has started coming out. Child MTx, HIV is negative but still fever is present. Should we start AKT, but how to explain the Negative mountex ?
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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