Naseem Salahuddin, Ferheen Ali, Jawed Abubaker, Altaf Ahmed, Faisal Sultan, Murat Akova.
Recurrent bacterial pneumonia: A case discussion.
Infect Dis J Jan ;14(2):60-3.

A 29-year-old male accountant, presented to the Infectious Diseases (ID) clinic in October 2004, with 6 days of fever and vomiting. The patient was known to the ID service for prior recurrent respiratory tract infections. At this time he was sweating profusely, his eyes were sunken, his temperature was 390 C, pulse 140 beats/minute, respiratory rate 26 breaths /minute, and blood pressure 80/60 mmHg. Chest exam revealed bronchial breath sounds in the right mid and upper zones. Chest x-ray ray showed right multilobar consolidation. The patient was admitted to the Intensive Care Unit with a diagnosis of community acquired pneumonia. Investigations showed a hemoglobin of 15.3 Gm/dl, WBC 9,100/mm3, platelet count 160,000/mm3 . Blood urea was 49 mg%, serum creatinine 2.0 mg%, sodium 144 mmol/L, potassium 3.3 mmol/L, and bicarbonate 25 mmol/L. Liver function tests were normal. Blood pH was 7.133, pCO2 28.8 mmHg. pO2 48.8 mmHg, and O2 saturation was 84.3 %. Two sets of blood cultures were sent, intravenous fluids, Azithromycin and Ceftriaxone started. He was given ventilatory support.

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