Friday, September 16, 2005
Finalizing Pleural effusion
This is the patient with the large effusion and MRSA in the BAL. We eventually D/C'ed her home on PO clinda and she followed up in the office. She was feeling better: less dyspnea, no F/C/NS or weight loss. A CxR revealed still a small residual effusion. Her BAL Cxs then grew MTb. She was started on 4-drug Tx and feels even better (she never felt that bad anyway) and the effusion is all gone.
Subscribe to:
Post Comments (Atom)
2 comments - CLICK HERE to read & add your own!:
Amazing. The theme continues: TB keeps popping up where we don't expect it, and when we suspect TB, we end up with other definitive diagnoses....
If this blog is good for one thing it is to look at cases across insitutions and see a theme pop up; When we thought it was TB, it was cancer. When we thought it was cancer it was TB. Now we have MRSA with complicated parapneumonmic effusion and THAT turns out to be TB.
Post a Commenttest post a comment