ADVERTISEMENT

Q. Am I suffering from pneumonia?

Answered by
Dr. Anshul Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 23, 2016 and last reviewed on: Jun 15, 2019

Hi doctor,

I am having fever for about a month now. So, I have done a master health checkup and the report shows raised PLBS 184, SGPT 121, LDL 112 and fatty liver. My chest x-ray PA view shows right lower zone soft tissue opacity. Because of the soft tissue opacity fever pack, thyroid profile, blood culture and sensitivity, sputum AFB, sputum culture and sensitivity and sputum gram stain tests were done. The results were normal except the gram stain test results. The gram stain sputum culture conventional showed pus cells and epithelial cells occasionally, bacteria - gram positive cocci, gram negative rods. Sputum culture and sensitivity showed pus cell - occasional, epithelial cells - occasional, bacteria - gram positive cocci and gram negative rods and growth observed - normal flora. So, kindly explain the above results and advise me. My past medical history includes fistula-in-ano, hypertension and vitamin D deficiency. Currently, I am taking Telma 40 mg and Lumia 60k.

#

Hi,

Welcome to icliniq.com.

  • Based on these reports, you are suffering from pneumonia.
  • As your PPBS (postprandial blood sugar) is high, you need further evaluation and treatment.
  • I would advise you to get a CT chest done. Also, get a sputum fungal stain and culture done.
  • Check HbA1c (glycated hemoglobin) for every three months.
  • You need to get these investigations done to be sure of the treatment required. You need to start on broad spectrum antibiotics to control the infection.

Revert back with the investigation reports to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist

Hi doctor,

Gram positive cocci and gram negative rods are found in both sputum gram stain and sputum culture and sensitivity test. But, in the sputum culture and sensitivity test the growth observed is normal flora. Here my doctor said it is normal. My body temperature is always high and I lost 2.5 kg in 25 days. Please explain this. What type of antibiotics or medicine do I need to take if I am suffering from bacterial pneumonia?

#

Hi,

Welcome back to icliniq.com.

  • What is troubling me is your weight loss with a positive finding in chest x-ray.
  • I would hereby recommend you to go for evaluation of fungal infection as you have diabetes too.
  • You should get the above mentioned tests done on priority. Treatment would be based on the reports.

Revert back with the reports to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist

Hi doctor,

As per your advice I have given for sputum fungal stain test. Please clarify me the following points. Are gram positive cocci and gram negative rods found in both sputum for gram stain and sputum for culture and sensitivity test normal? I was diagnosed with borderline diabetes before five years, but till now I never took medicine for it. I controlled my diet very well and so my blood sugar fasting never raised above 100 and post meal after two hours is always between 150 and 190. My HbA1c is always below 6.4. Till now I did not suffer with any diabetic symptoms. Do I need medicine for diabetes? I took antibiotic tablet Cifran for 10 days and one tetanus injection just before eight days of my blood test. Whether that antibiotic tablet affected the test report? Please guide.

#

Hi,

Welcome back to icliniq.com.

  • Since you have taken antibiotics prior to the sputum test, the reports are negative. So, we cannot rule out the possibility of pneumonia.
  • You would need to get a CT chest also to be sure that the pneumonia has healed or left. This would be apparent in the CT.
  • In the meanwhile, you will get the report for your fungal stain.
  • As far as your diabetes is concerned, you should get your HbA1c repeated to be sure that your diabetes is not further worsening.
  • So, after taking antibiotic, your sputum test is negative. Hence this does not rule out your infection.

Revert back with the CT chest to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Diabetes Mellitus and Oral Health

Diabetes mellitus is a metabolic disorder which affects the uptake and use of glucose by the human body ... Types Of Diabetes Insulin-dependent diabetes mellitus:...   Read full

Diabetes and Eyes

It is very important factor for individuals to be independent in their life" Diabetes is a metabolic syndrome entity which is characterized by hyperglycemia, high blood pressure and dyslipedemia ...   Read full

My HbA1c level was 7.5 last month. Should I continue Gemer 1 tablet?

As far as tablet Gemer 1 mg (Glimepiride) is concerned, I suggest that it should be taken lifelong with another medication by the name of Metformin 250 mg twice daily after meals ...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Nipah Virus: Stay Safe from This Deadly Disease
The recent speculation about the spread of the Nipah virus in a Southern State in India has surely brought jittery feeli...  Read more»
What to Do When Someone Turns COVID-Positive At Home?
COVID-19 pandemic has affected so many people, and many of them are advised for home care. This article explains the pre...  Read more»
Guidelines for Management of COVID-19 In Children
Amidst the concerns that children will be the target in the third wave of COVID-19, they have come up with certain guide...  Read more»

Ask your health query to a doctor online?

Ask a Pulmonologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.