Situation: An alcoholic 66-year-old diabetic male with pneumonia was not responding.
Dr Bad: It is routine pneumonia.
Dr Good: This is a case of drug-resistant S. pneumoniae.
Lesson: Risk factors for drug-resistant S. pneumoniae in adults include: Age >65 years; beta-lactam, macrolide, or fluoroquinolone therapy within the past 3 to 6 months; alcoholism; medical comorbidities; immunosuppressive illness or therapy and exposure to a child in a day care center
(Source: Chest 2005; 127:1752; Clin Infect Dis 2005; 40:1288; Clin Infect Dis 2006; 43:432 and Clin Infect Dis 1998; 26:1188)
No comments:
Post a Comment