Hi,I am Dr. Shanthi.E (General & Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
My sister's got melioidosis,pleural effusion and lung abscess. Imipenem has treated for >2 weeks. She's still got high fever many times per day.After thoracocentesis and decorticate operation,cvt said her abscess's affected large area and lung tissue's become hard, fibrosis. Now she's on respirator,good concious,but cough a lot ( day 1 post operation). I'm not sure will she improve and is it good idea to ask doctor for referral. My sister admited at central reginal hospital in northest Thailand , I think of the hospital in Bangkok. Moreover, are there any furture treatment to help her improve. I still hope for her getting better. Thank you (50 yrs Female,5ft Ht, hysterectomy > 10 yrs, teacher /farmer )
Hi and thank you for asking in HCM. I am sorry for your sister'ssituation
As you explain she is not in good conditions. I think imipenem is a good choice for lung abcess but it is not the only medication.In lung abcess should be use two or three antibiotics with a large spectrum. After the result of antibiogram which shows the microorganisms that are involved and which antibiotic is needed the doctor should do the treatment. It will be a long treatment for 4-6 weeks with antibiotics, mucolitics,simptomatics antipiretics liquids . So it will be in the hospital conditions. So i think that the doctors know the strategy of the treatment. I wish a fast recovery for your sister.
Dr. Jolanda Pulmonologist
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What Is The Treatment For The Lung Abscess?
Hi and thank you for asking in HCM. I am sorry for your sister ssituation As you explain she is not in good conditions. I think imipenem is a good choice for lung abcess but it is not the only medication.In lung abcess should be use two or three antibiotics with a large spectrum. After the result of antibiogram which shows the microorganisms that are involved and which antibiotic is needed the doctor should do the treatment. It will be a long treatment for 4-6 weeks with antibiotics, mucolitics,simptomatics antipiretics liquids . So it will be in the hospital conditions. So i think that the doctors know the strategy of the treatment. I wish a fast recovery for your sister. Dr. Jolanda Pulmonologist