#MedicalCase
Full term pregnancy with Pyrexia (Critical care physician)
Dr. Sunita Kothari., M.S GYNAE AND OBST
Medical Case Details:
I have seen a full term pregnant patient with pyrexia. She had CBC, TC was 11000 and N 70%. Her urine test showed RBC and pus cells 5 to 7. She had labour pain with one finger dilation along with vomiting. Symptomatic treatment was given with inj Rantac and Perinorm. Then, started inj Monocef 1 g twice a day and there was no progress for 36 hours. As the head was high up, LSCS done. Fever continues for five days and today it is 102. MP urine negative. Today we repeated CBC, TC 10,800 and Neutrophils remain 70%. The temperature is 102 degrees.Discussions
Dr. Ashaq Hussain Parrey
Rheumatologist
Hello Doctor.
You haven't mentioned on which day of hospital admission she developed fever, it looks like a hospital acquired infection and that is the reason why patient isn't improving with ceftraxone.
Blood and urine culture needs to be taken and patient should be started on pipricillin tazobactum and Levofloxacin an x ray chest, ultrasonogram abdomen, will help in identifying the source of sepsis.
Rheumatologist
Hello Doctor.
You haven't mentioned on which day of hospital admission she developed fever, it looks like a hospital acquired infection and that is the reason why patient isn't improving with ceftraxone.
Blood and urine culture needs to be taken and patient should be started on pipricillin tazobactum and Levofloxacin an x ray chest, ultrasonogram abdomen, will help in identifying the source of sepsis.
08.Sep, 10:13pm
Dr. Aurangzebl Afzal
Nephrologist
Following are needed
Blood culture
URINE culture
Typhidot Ig M
Malarial parasite film during fever
If patient is not breast feeding
Give artemether/lumfentrine bd for 3 days
Nephrologist
Following are needed
Blood culture
URINE culture
Typhidot Ig M
Malarial parasite film during fever
If patient is not breast feeding
Give artemether/lumfentrine bd for 3 days
15.Oct, 10:45am
Are you a doctor?
Please Login to comment or ask a question.
New to icliniq? Sign Up Now
Similar Medical Cases
Q. Acute Anaphylactic Reaction. - BACKGROUND: Acute anaphylactic reaction is a life threatening medical emergency. Without prompt treatment, patient may die with hypotension and angioe ...
Q. Ectopic Pregnancy - Details: A 32 years old lady came to ER with severe abdominal pain and mild per vaginal bleeding since few hours. Her last menstruation period was 2 a ...
Q. Acute Anteroseptal MI - BACKGROUND - A young patient with sudden severe chest pain, needs immediate evaluation. The patient was obese and a smoker, so there was a chance of ...
Q. Acute gastroenteritis (AGE) - BACKGROUND - Why do you think this case is important? Why did you write it up? The incidence of gastroenteritis is higher in the summertime, so patien ...
Q. Sleep disturbance. - 52 years old banker. From last few months, he is not getting sound sleep. It looks as if he is awake and dreaming of different things mostly related t ...