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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fever With Productive Cough

II have been running fevers for over 2 months after a bout of pneumonia, I just had a central line removed after ten days of home antibiotcs and the line became infected,positive blood cultures for gram negative rods. I still have a productive cough and temp. along with positive cultures obviously antibiotics did not help, my concern is I am an organ donor and I do not want my heart damaged as my brother died from a similar issue after needing a heart transplant due to a similar issue.What should be my next step?
Fri, 2 Jan 2015
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Pulmonologist,  's  Response
Hello dear, thanks for your question on HCM.
I can understand your situation and problem.
I advice you to consult pulmonologist and get done
1. CT THORAX
2. Bronchoscopy and BAL analysis.
We need to identify the causative organism and sensitive drugs so that antibiotics can be directed.
CT gives excellent imaging of lung parenchyma and thus improvement or worsening of previous pneumonia bout can be diagnosed.
BAL is very sensitive for identification of organism. So antibiotics can be guided.
So consult pulmonologist and discuss all these.
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Suggest Treatment For Fever With Productive Cough

Hello dear, thanks for your question on HCM. I can understand your situation and problem. I advice you to consult pulmonologist and get done 1. CT THORAX 2. Bronchoscopy and BAL analysis. We need to identify the causative organism and sensitive drugs so that antibiotics can be directed. CT gives excellent imaging of lung parenchyma and thus improvement or worsening of previous pneumonia bout can be diagnosed. BAL is very sensitive for identification of organism. So antibiotics can be guided. So consult pulmonologist and discuss all these.