What Does My Lab Test Report Indicate?

Posted on Sat, 9 Jul 2016

Question: Please advice on the following test report:
Pus Cells: 10-15/LPF
Epithelial Cells: 3-5/LPF
Gram Positive cocci seen in pairs and chain:(+)
Gram negative bacilli: (+)

Culture:Positive
Organism: Klebsiella Pneumonia

Answered by Dr. Nishad BN (1 hour later)

Brief Answer:
Please specify what specimen you gave for testing.

Detailed Answer:
Hi

Thank you for asking HCM

I have gone through your query. Please specify what specimen you have given for testing. The results give the information of bacterial infection with klebsiella pneumonia bacteria.

Antibiotic therapy will be needed in this case. I would suggest antibiotics like Levofloxacin or ofloxacin if oral and piperacillin tazobactam if for injecton.

Please describe your clinical symptoms also.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (12 minutes later)

Specimen of Sputum

Patient suffering from cough since April last week. Have taken cough syrups and few antibiotics course also but if no complete relief.

Answered by Dr. Nishad BN (10 minutes later)

Brief Answer:
So it can be most likely Lower respiratory infection or Pneumonia.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

It can be most likely Pneumonia or Lower respiratory tract infection by Klebsiella pneumonia bacteria. As there is no improvement with the antibiotics change to strong antibiotics is necessary. Parenteral antibiotics is preferred in such case. Sputum should be send for test for sensitivity to antibiotics also. Chest x ray should be done to rule out pneumonia (affection of lungs) also.
A consultation with physician preferably chest physician is well appreciated. Hospitalization should be done if necessary for parenteral antibiotic therapy and supportives.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (39 hours later)

Haven't got reply of my last follow up question. So writing g again

Patient is diabetic and already taking Gynase5 and Alzolam0.25. We started with Amoxi plus antibiotic and since it dint worked gave Levoflox500 but it reacted badly and patient suffered from breathlessness and skin irritation so we discontinued Levoflox500.
Please suggest what should be the next course of action.

Answered by Dr. Nishad BN (2 hours later)

Brief Answer:
Change to another antibiotic is necessary.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

Patients condition is most likely Lower respiratory bacterial infection with klebsiella pneumonia. Chest X ray should be taken to rule out pneumonia.
Change to another sensitive antibiotic is necessary. I would suggest parenteral antibiotics like Piperacillin tazobactam in such case. Hospitalization should be done if necessary for antibiotic injections and supportives. In case of confirmation of pneumonia from chest x ray , x rays should be repeated after antibiotic therapy to see whether pneumonia is resolved.
A review with your physician or chest physician is well appreciated.

Let me know if anything not clear.
I am happy to help you.
Thanks.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar