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Hi Madam, My Wife Aged 30 Undergone Vp Shunt Operation.post
Question: Hi Madam,
My wife aged 30 undergone vp shunt operation.post operation she is suffering with high temp 104,on ultrasound test identified liver abscess,we removed pus on 15th Aug and tazact used before and after taking pus.Still fever not controlled then doctor changed antibiotic to meropenum first two days fever in control but later on temp is upto 102.on 5th day of meropenum does we found rashes on body and on 6th day rashes intensity is more, Doctor advised to stop iv and prescribed oral antibiotics.Now it is 5th day of oral madicine.but fever is not controlled.paracitmal is holding fever for 8hrs.kindly address my issue.How many days should we use paracetamol to control the fever
My wife aged 30 undergone vp shunt operation.post operation she is suffering with high temp 104,on ultrasound test identified liver abscess,we removed pus on 15th Aug and tazact used before and after taking pus.Still fever not controlled then doctor changed antibiotic to meropenum first two days fever in control but later on temp is upto 102.on 5th day of meropenum does we found rashes on body and on 6th day rashes intensity is more, Doctor advised to stop iv and prescribed oral antibiotics.Now it is 5th day of oral madicine.but fever is not controlled.paracitmal is holding fever for 8hrs.kindly address my issue.How many days should we use paracetamol to control the fever
Brief Answer:
? septicaemia with liver abscess
Detailed Answer:
Hello,
thanks for the query,
Considering the fact that she had liver abscess and a definite septic focus which as drained and yet the fever has continued in her case along with rashes, indicate a chance of her going into septicaemia. It is important that her blood culture and sensitivity test should be done to establish the causative organism and its relevant sensitive antibiotic. Also important would be the pus culture report and sensitivity.
There are all chances that the infecting organism is resistant to meropenem and hence the fever and infection is persistent.
Please share the culture reports and also the treatment which is presently on .
Regards
? septicaemia with liver abscess
Detailed Answer:
Hello,
thanks for the query,
Considering the fact that she had liver abscess and a definite septic focus which as drained and yet the fever has continued in her case along with rashes, indicate a chance of her going into septicaemia. It is important that her blood culture and sensitivity test should be done to establish the causative organism and its relevant sensitive antibiotic. Also important would be the pus culture report and sensitivity.
There are all chances that the infecting organism is resistant to meropenem and hence the fever and infection is persistent.
Please share the culture reports and also the treatment which is presently on .
Regards
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Hi Sir
CECT Scan, CBC report and X Ray chest PA view is attached.Kindly look in to reports and suggest us next course of action
CECT Scan, CBC report and X Ray chest PA view is attached.Kindly look in to reports and suggest us next course of action
Brief Answer:
follow up
Detailed Answer:
Hello,
Its not a liver abscess anymore as can be seen on CT scan but a collection around the peritoneal shunt tip. This fever can be reactionary to the peritoneal irritation possibly caused by the css fluid shunted from skull. As the counts on cbc are normal there is no active infection at present , however a repeat ct scan after a week can show the collected content if it has resolved or organised. If the fever does not subside in next 72 hrs, then there may be a need to do ultrasound guided aspiration of this collection again.
Oral antibiotics can be continued for 2 weeks along with NSAIDS for pain and fever relief.
Regards
follow up
Detailed Answer:
Hello,
Its not a liver abscess anymore as can be seen on CT scan but a collection around the peritoneal shunt tip. This fever can be reactionary to the peritoneal irritation possibly caused by the css fluid shunted from skull. As the counts on cbc are normal there is no active infection at present , however a repeat ct scan after a week can show the collected content if it has resolved or organised. If the fever does not subside in next 72 hrs, then there may be a need to do ultrasound guided aspiration of this collection again.
Oral antibiotics can be continued for 2 weeks along with NSAIDS for pain and fever relief.
Regards
Above answer was peer-reviewed by :
Dr. Kampana
Brief Answer:
follow up.
Detailed Answer:
Hello,
what about the blood culture report and also about the intraperitoneal collection? what is the highest range of fever that is being experienced?
follow up.
Detailed Answer:
Hello,
what about the blood culture report and also about the intraperitoneal collection? what is the highest range of fever that is being experienced?
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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