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Nagging Q Forum Hot - Library - Unanswered
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naduSend an Instant Message to nadu  




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Quick Scroll A 30 yr old................. 09.16.04 (4 years ago) #1

Q.A30 yr old women complained of severe headache,fever with chills,malaise with dry cough. Chest X-ray showed bilateral patchy-diffuse bronchopneumonia. WBC count was NORMAL.
MC organism implicated is :

1. H.influenza

2. M.pneumoniae

3. Legionella

4. Pneumococci
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Quick Scroll 09.16.04 (4 years ago) #2

Seems like we got a legioneller in here..Hope he is the one...What abt others???
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Quick Scroll 09.16.04 (4 years ago) #3

THE CLINICAL FETURES ALL GO IN FAVOUR OF A COMMUNITY AQUIRED PNEUMINIA

AND THE MOST COMMON CAUSE OF COMMU.. AQ.. PNEU...IS M.PNEUMONIAE
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Quick Scroll 09.16.04 (4 years ago) #4

Dear Dr psg ,
The most important cause of CAP is bacteria ( 2/3 of cases ) and rest is viral .Among bacteria its strep .pneumonia the MC cause and not M.pneumonia...So I was wrong and I do apologise for the wrong info provided...

cheers
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Quick Scroll 09.16.04 (4 years ago) #5

THATS OK DR TROUBLE
ANYW AYS WHAT IS THE ANS EXACTLY THEN
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Quick Scroll 09.16.04 (4 years ago) #6

yaar it seem to me as mycoplasma infection ... it is atypical pnumonia inf bcoz of presence of headache n typically normal wbc count.... also bilate patchy diffuse pnumonia points to mycoplasma inf .... i am not sure whether wbc count is normal in mycoplasma....but sure about that in h inf and strep inf wbc is high.... ligionella presents as a diarrohea and meningeal signs....so it is mycoplasma
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Quick Scroll an opinion 09.16.04 (4 years ago) #7

hello troubled soul ,i think beter go with legionella bcos of normal wbc count
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Quick Scroll 09.17.04 (4 years ago) #8

Dear CP that was why I went with Leigeonella in first place..Any way i would like more reading on the stuff and would probably get an answer tomarrow...
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Quick Scroll 09.17.04 (4 years ago) #9

yaar ..see what harri says

in legionella inf , generally there is neutrophilic leucocytosis

in mycoplasma inf, generally there is [size=18]normal leucocytic count[/size

so does that clarify the ans ?

clearly its not cap , its atypical pnumonia due to mycoplasma which is also k a walking pnumonia

afterall when there is ho diarrohea along with ss of pnumonia, then u think of the legionella ...thats what ashish gupta says


so .........mycoplasma is the ans
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Quick Scroll 09.17.04 (4 years ago) #10

u r rt nikhil...............ans is mycoplasma !

good work !

thanx icon_smile.gif icon_smile.gif icon_smile.gif
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