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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Neutropenia And Chronic Cough

I have had cold like sympyoms for 4 days but yesterday was the beginning of a chronic cough followed by spitting out green or brownish phlem. I have an immune deficiency (Neutropenia) but my thermometer hasn t read any higher than 98.8. I have shortness of breath, and a slight pain in my left lung. Bad cold or Pneumonia?
Mon, 9 Mar 2015
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Pulmonologist,  's  Response
Hello dear, thanks for your question on HCM.
I can understand your situation and problem.
Neutropenic patients are immunocompromised and prone to bacterial infection.
Fever is not seen commonly in infection in Neutropenic patients.
So in your case even in the absence of fever, green mucus and coughing suggest lung infection ( pneumonia ).
So better to consult pulmonologist and get done
1. Clinical examination of respiratory system.
2. Chest x ray.
3. CT thorax if required.
4. Sputum culture and sensitivity.
Chest x ray and CT thorax are needed to diagnose pneumonia.
Sputum culture and sensitivity is needed to isolate the causative organism and guide the appropriate antibiotic therapy.
So better to consult pulmonologist and discuss all these.
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Suggest Treatment For Neutropenia And Chronic Cough

Hello dear, thanks for your question on HCM. I can understand your situation and problem. Neutropenic patients are immunocompromised and prone to bacterial infection. Fever is not seen commonly in infection in Neutropenic patients. So in your case even in the absence of fever, green mucus and coughing suggest lung infection ( pneumonia ). So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x ray. 3. CT thorax if required. 4. Sputum culture and sensitivity. Chest x ray and CT thorax are needed to diagnose pneumonia. Sputum culture and sensitivity is needed to isolate the causative organism and guide the appropriate antibiotic therapy. So better to consult pulmonologist and discuss all these.