Monday, December 26, 2011

BACTERIAL PNEUMONIA MIMICKING PULMONARY TUBERCULOSIS


A 30 year old muslim female presented with low grade fever,cough with expectoration and myalgias.Her chest xray revealed right upper lobe consolidation, TLC15700, n80%, ESR130, MT 17*19mm, sputum for AFB was negative on 3 consequetive days,sputum for gram stain showed gram positive cocci in pairs.She was treated with coamoxyclav625 bid for 3 days-there was no relief in symptoms.she was then given cefpodoxime-clavulanate200 bid for 10 days.there was almost complete clearance of RUL opacity after 10 days.
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