Concluded Case

65,male,presented with fever with chills since 3 days,found thrombocytopenia.heodynamicaly stable,started treatment considering viral hemorrhagic fever.dengue negative. 3days later,patient developed cough dyspnea,and chills.spo2 92%,and with o2 it's 96%.2 d Echo screening normal. day1 and day 3 CXR,ct thorax,serial lab reports displayed.what are possible reasons for it?

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Concluded answer

CT chest s/o RUL with Bilateral lower lobe patchy consolidation with bilateral mild effusion. Blood report s/o- neutrophilia with lymphopenia....may be bacterial infection. BAL culture with AFB stain will help in diagnosis.

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Send hini,add tamiflu prophylaxtic dose till proved.

I agree with Dr Sameer Kotawalkar

TBP pleural effusion

Viral repeat cbcevery 24 hrly 10000 platelet then admit

Viral pneumonia

Thank you doctor
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

I agreed with Dr. Sameer Kotawalkar.

Thank you sir
2

B/L mild pleural effusion with lower lobe haziness Thrombocytopenia, neutrophilia, lymphopenia Adv Blood culture sensitivity Sputum for AFB, R /M, C /S, MT CRP ESR TB gold, Tab augmentin 625mg BD x 5day Cap AB Phyline 100mg BD x 5day Tab dolo 500mg tds x 3days Further management as per report

Agree with Dr Sameer kotalwar.

Thanks Dr Ved sharma.
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CT chest s/o RUL with Bilateral lower lobe patchy consolidation with bilateral mild effusion. Blood report s/o- neutrophilia with lymphopenia....may be bacterial infection. BAL culture with AFB stain will help in diagnosis.

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