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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever And Chills In A Chronic COPD Patient?

My husband has stage 4 copd. He had 5 bypass heart surgery in 2008 and was in hospital for 5 months. Most of problems stemmed from lungs. He started getting sick in September 2015 and made numerous trips to the dr and was given prednisone and various antibiotics. Symptoms included fever, chills, severe cough, fatigue, and breathing problems. In March 2016 the dr decided to do a bronc. Results showed achromobacter with pneumonia. Dr prescribed 10 days of iv antibiotics 2x daily. Six weeks later he had symptoms again and sputum culrure showed same. This time 14 days of menoprene iv antibiotics were given. Week after antibiotics were completed, sputum culture showed same achromobacter. Now doctor tells him that bacteria has most likely colonized and he is not going to treat it unless he gets really sick. He is still running low grade fever but not daily. Is this the way to handle the problem and can this be spread to me or others around him?
Tue, 17 Dec 2019
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General & Family Physician 's  Response
Hello,

The patients of COPD who have taken steroids inhalers are immuno-suppressed and hence get chronic infection. Since the disease has been adequately treated by antibotics, the current culture reports only show colonisation. He requires treatment only in symptomatic in the form of worsening cough, fever more than 100 degree or chest pain.No need to worry as it will not spread to you.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Loveleen Sharma, General & Family Physician
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What Causes Fever And Chills In A Chronic COPD Patient?

Hello, The patients of COPD who have taken steroids inhalers are immuno-suppressed and hence get chronic infection. Since the disease has been adequately treated by antibotics, the current culture reports only show colonisation. He requires treatment only in symptomatic in the form of worsening cough, fever more than 100 degree or chest pain.No need to worry as it will not spread to you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Loveleen Sharma, General & Family Physician