What is causing cough with heavy chest and raised platelets?

Question

Hi doctor,

I am a 30-year-old female (weight 143.30 lb, height 5’4"). I was having a cough with heavy chest (possibly due to sputum as I threw up with sputum a couple of times also). I was prescribed Co-amoxiclav 375 mg TID but as it did not help in three days, the doctor switched to Zinacef for seven days. My erythrocyte sedimentation rate (ESR) was 60 in the first five days and today it is the tenth day and ESR is 98. Also, my platelets have risen to 457, monocytes 19 % and WBC 13.2 %. Also, I get fever occasionally and I am taking Paracetamol which works. The cough is a bit better but I feel too down and tired. Please guide.

Answer 1

Hello,

Welcome to icliniq.com. Looking at your complaints and reports, you might be suffering from lower respiratory tract infection (attachment removed to protect patient identity). Kindly do the following tests and do get me back with chest X-ray posteroanterior (PA) view sputum for acid-fast bacillus (AFB), gram stain and culture. The medication that you received looked very small dose for your age. You might start tablet Amoxiclav 1 gm twice daily for seven days, tablet Levoflox 500 once daily for seven days till you get the reports. Get well soon.