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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bad Cough. On Antibiotics. Sputum Test Shows Positive For Streptococcus Pneumoniae, Scant Serration Marcescens. X-ray Shows Clear Lungs. Advice

My son is 29 and has had a horrible cough for over 7 months and smells really bad. He has been prescribed 5or 6 different antibiotics with the last one being bactrim for 2 weeks and a 2 week break and now bacterium again for another 2 weeks. His sputum test back positive for 3+ streptococcus pneumoniae, 3+ stomata occurs species and scant serration marcescens. That was on 4/29/13. He's getting worse and he had an X-ray and his lungs are one higher than the other but supposedly clear. We don't know what to do
Wed, 22 May 2013
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Pathologist and Microbiologist 's  Response
Hello,

Your son is suffering recurrent lower respiratory tract infection.
Streptococcus pneumoniae is the most common bacteria causing LRI in the community.
For a seven months duration of cough and the Chest X ray is not conclusive than go for CT chest.
Do a Sputum culture and sensitivity and choose the antibiotic accordingly.
Consult a Pulmonologist.
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Bad Cough. On Antibiotics. Sputum Test Shows Positive For Streptococcus Pneumoniae, Scant Serration Marcescens. X-ray Shows Clear Lungs. Advice

Hello, Your son is suffering recurrent lower respiratory tract infection. Streptococcus pneumoniae is the most common bacteria causing LRI in the community. For a seven months duration of cough and the Chest X ray is not conclusive than go for CT chest. Do a Sputum culture and sensitivity and choose the antibiotic accordingly. Consult a Pulmonologist.