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drprasuSend an Instant Message to drprasu  




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Quick Scroll medicine - infiltrates 10.08.05 (2 years ago) #1

A patient of Ac. leukemia is admitted with febrile neutropenia. On day
4 of being treated with broad spectrum Antibiotics, his fever increases.
X-ray chest shows bilateral fluffy infiltrates. which is most appropiate
next step in Mx:

1) add antiviral therapy
2) add antifungal therapy
3) add cotrimoxazole
4) continue chemotherapy

antiviral for CMV or cotri. for P.carinii ?? icon_confused.gif

icon_eek.gif B/L infiltrates are mentioned under both infections.
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Quick Scroll 10.08.05 (2 years ago) #2

add cotrimoxazole
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Quick Scroll 10.09.05 (2 years ago) #3

IN FEBRILE NEUTROPENIA MOST COMMON INFECTION IS FUNGAL INFECTION.....HAI NA?
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Quick Scroll 10.09.05 (2 years ago) #4

I think MC inf. in febrile neutropenia are bacterial,
not fungal.
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Quick Scroll 10.28.05 (2 years ago) #5

AGREE WITH DRPRASU
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Quick Scroll 10.29.05 (2 years ago) #6

agree with dr pasu it is legionella's pneumonia

am i right!!!
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