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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Pneumonia Despite Taking Antibiotics?

My husband 69 has had pneumonia for almost 3 months. He was treated with two separate courses of antibiotics, which he completed . His latest Chest X Ray shows pneumonia worse. His primary care doctor is booked so he is supposed to see a nurse assistant today. I am concerned about what we should do. He also has A-Fib and is on two different medications for that.
Mon, 25 Apr 2016
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Gastroenterologist 's  Response
hi
thanks for posting in HCM
I have understand your concern

if the pt's pneumonia is worsening inspire of antibiotics, probabilities are
1.treating a different organism
2.wrong antibiotic selection without culture
3.any underlying comorbidities worsening it

so I can suggest you
1.sputum for AFB, culture and sensitivity and for fungal stain
2.2D echo to look for cardiac function

depending upon the results we can go for appropriate medications

hope this helps you
any further questions kindly get back
thanks
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What Causes Persistent Pneumonia Despite Taking Antibiotics?

hi thanks for posting in HCM I have understand your concern if the pt s pneumonia is worsening inspire of antibiotics, probabilities are 1.treating a different organism 2.wrong antibiotic selection without culture 3.any underlying comorbidities worsening it so I can suggest you 1.sputum for AFB, culture and sensitivity and for fungal stain 2.2D echo to look for cardiac function depending upon the results we can go for appropriate medications hope this helps you any further questions kindly get back thanks