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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurring Flu And Lung Pain. High WBC. Taking Ibuprofen, Levofloaxcin. What Could Be This?

Hi, I'm a 38 yr old female with recurring flu and lung pain. Have been sick for 2.5 with flu symptoms (headache, body aches) fever and lung pain on inspiration. No cough except with deep breath caused by pain. doc didnt hear any congestion/crackling when using stethoscop. Fever is low grade now and headache better with ibuprofen. WBC count 21 (range 3.6-10.6). Not responding to Ceftin or Zpak. On Levofloaxcin now. They are thinking blood clot now in vessels to heart, no CT yet. I think it more likely infection with high WBC count. What do you think? And if infection, what is next step when unresponsive to antibiotics?
Mon, 1 Jul 2013
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General & Family Physician,  's  Response
Hello,

Thanks for posting on HCM,

From your description, infection of the lung parenchyma or bronchus is most likely but it will be wise to rule out other lung affections such as neoplasia (rare), embolism (rare), atypical lung infection (likely). If common germs have been treated with the above antibiotics, then it is high time your doctors consider treating for atypical germs or try other antibiotics with much effectiveness such as amoxicillin-clavulinic acid (10 days treatment).
You will also require an X-ray which may show other types of lung affections such as tuberculosis or pneumocystic cariini pneumonia etc.
If the situation continuous to be difficult to handle by your present doctor, it will be best to referred to pulmonologist.

Hope this helps
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Recurring Flu And Lung Pain. High WBC. Taking Ibuprofen, Levofloaxcin. What Could Be This?

Hello, Thanks for posting on HCM, From your description, infection of the lung parenchyma or bronchus is most likely but it will be wise to rule out other lung affections such as neoplasia (rare), embolism (rare), atypical lung infection (likely). If common germs have been treated with the above antibiotics, then it is high time your doctors consider treating for atypical germs or try other antibiotics with much effectiveness such as amoxicillin-clavulinic acid (10 days treatment). You will also require an X-ray which may show other types of lung affections such as tuberculosis or pneumocystic cariini pneumonia etc. If the situation continuous to be difficult to handle by your present doctor, it will be best to referred to pulmonologist. Hope this helps