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Suggest Treatment For Pneumonia While On Levaquin

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Posted on Sat, 4 Feb 2017
Question: Pneumonia in the right middle lobe diagnosed by x-ray the week before thanksgiving. Did well with Levaquin and steroids except for tendonitis in the shoulders/upper arms. Two weeks ago diagnosed with lower lobe pneumonia in both lungs. Augmentin and steroids done. I have such significant left back and rib pain even driving worsens it. Is this normal
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Answered by Dr. Shashi Dangwal (57 minutes later)
Brief Answer:
The pain could be because of pleural involvement due to pneumonia.

Detailed Answer:
Hello Cmu,

Thanks for posting your query on HCM.

The pain in your back could be because of pneumonia in the lower lobes. Very often, in pneumonia there is involvement of pleural membrane covering the lungs which is painful. This pain is aggravated with deep breathing, coughing and even movements. It should subside as you recover from pneumonia. Continue with antibiotics, pain killers and other symptomatic treatment. If course of antibiotics is over, a follow up chest xray or ct chest should be done to see if pneumonia has resolved completely or not. Also discuss with your PCP as to why you have had second bout of pneumonia in such a short period because if immunity is compromised one may get frequent attacks of pneumonia.

Take care.
Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Shashi Dangwal

Pulmonologist

Practicing since :1979

Answered : 1157 Questions

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Suggest Treatment For Pneumonia While On Levaquin

Brief Answer: The pain could be because of pleural involvement due to pneumonia. Detailed Answer: Hello Cmu, Thanks for posting your query on HCM. The pain in your back could be because of pneumonia in the lower lobes. Very often, in pneumonia there is involvement of pleural membrane covering the lungs which is painful. This pain is aggravated with deep breathing, coughing and even movements. It should subside as you recover from pneumonia. Continue with antibiotics, pain killers and other symptomatic treatment. If course of antibiotics is over, a follow up chest xray or ct chest should be done to see if pneumonia has resolved completely or not. Also discuss with your PCP as to why you have had second bout of pneumonia in such a short period because if immunity is compromised one may get frequent attacks of pneumonia. Take care.