The numbers of immunocompromised patients is increasing c/o improved solid-organ and haemopoietic transplants and the expanded use of immunomodulatory therapies. Pulmonary infections = most frequent complication with high mortality
Nonresolving or Progressive Pneumonia: failure to normalize the clinical features (eg, fever, cough, sputum production), or nonresolving image in chest radiograph
pulmonary infections = most frequent complication with high mortality; requires aggressive, early, broad spectrum antimicrobial therapy; close consultation and even transport to transplant unit may be indicated
Pneumonia is an inflammatory, most commonly infectious process involving the lungs. Typically the alveoli in intensely inflamed areas fill with inflammatory fluid or pus, and this is known as consolidation. The changes may be widespread, patchy or lobar. Ultrasound can…
42 year old diabetic woman with left sided pleuritic chest pain. Mild fever and cough. Describe and interpret these scans
Consider a 56 year old male with no past medical history presenting with 10 days of fevers, chills, myalgia and cough followed by worsening breathlessness over the past 4 days.
Eight Q-and-As to separate the (wo)men from the amoebae on EBmedicine's Feb 2011 review: An Evidence-Based Review Of Pediatric Pneumonia In The ED.
The case. An obese 86 year old female is bought to ED by private car with a 5-6 day history of progressive dyspnoea and fevers. She is promptly rushed into the resus bay in extremis with cyanosis & poor respiratory…
Recently, a colleague of mine was wanting to perform a diagnostic tap on a patient with cough, fever and a CXR suggesting a left sided pleural effusion…. I was asked to perform a bedside USS to mark out the safest…