Question: I am a nurse, don't flame me please - page 2

SIL and DD went on vacation about a month ago. Went to Biloxi, MS, New Orleans and on to Tampa Bay to vs. inlaws. They came home on a Tuesday night, and he c/o sore throat. Got progressively more... Read More

  1. by   RN2B2005
    According the CDC, the SARS patients' white counts drop instead of increasing as they might with a bacterial infection.

    It sounds like you're trying to talk yourself into telling him to see another physician--which I would definitely do at this point, and I'm not an RN.
  2. by   P_RN
    Oh man that sounds exactly like the mycoplasma pneumonia I had. Even to the abx. Finished a course and 2 days later the sx returned. Lasted on and off 6 weeks.
  3. by   MelRN13
    What about histoplasmosis? Could he have been exposed to some bird/rodent droppings in his warehouse job?
  4. by   Tweety
    Was wondering about the cultures too. He may have a bug that's resistant to the abx that's he's been on and needs to be one something else.

    Don't fall into the All American trap of looking for someone to blame. (That's not a flame).

    Hope he gets well soon.
  5. by   KaroSnowQueen
    CT scans all negative at this point. Still in hospital. Am getting ready to see DD right now at church, he encouraged her to go, so she is.
    As far as all the suggestions, thanks so much you guys. Anybody else with any ideas, feel free to say so. As far as SARS, that's scary about the WBC dropping, but he hasn't flown anywhere, they drove from here to there on their trip.
    Mycoplasma, (DD had that as a child, sick as a dog as I recall), histoplasmosis and SARS. I may pick the MD's brain tomorrow and will tell SIL if they suggest transferring, I would say NOW, this is a tiny little place, and if they really don't know, they have gotten better about transferring out, so I will push DD hard to do so, she wanted to take him to a big city hospital ER over the weekend but he refused.
    This hospital's CT scanner wouldn't accomodate him, he weighs 275 and is 6 feet, he wouldn't fit, so had to send him 20 miles by ambulance (there goes an expense) to the next town for CT scan, and they made him wait from 9 am til 2pm after their pts and emergencies had been done, although presumably the doc had set it up as a scheduled thing. GRRRRRRRRRRRR!!
    Will let you know when & if they find out anything.
  6. by   baseline
    SARS doesn't sound likely to me. Mycoplasma or some other atypical pne is more likely. Were any cx's take BEFORE the first round of abx? Keep us informed.
  7. by   Elenaster
    Karo,

    Get him to Louisville. My brother lives in a perfectly lovely, yet tiny town in Southern Indiana but was repeatedly misdiagnosed and wound up on dialysis. He had a transplant at Jewish and is doing great. The facilities at U of L are probably better equipped to diagnose and treat the condition than the smaller outlying hospital. Best of luck to you.
  8. by   NurseKrissy
    Did they happen to culture his sputum before the antibiotics?
  9. by   Zee_RN
    Odd. I just had a 41-year-old patient who has NO medical history that just got back from Florida a month ago. Sick at home for 2 days; passed out, came to E.D. Had a pericardial effusion; did a pericardial window and he "smurfed" from the O.R. to the PACU and required intubation for 3 days. Bilateral infiltrates, cultures negative. Weird, eh? Even ventilated, his 02 sats were never higher than 95%. Non-smoker, clean medical hx except for GERD. Hmmmmm. Does make one wonder.

    43-year-old patient several months ago with no medical history. Intubated for nearly 2 weeks with an atypical pneumonia. Never could pinpoint a cause but his wife did release the 19 pigeons that he kept!

    Hope your hubby feels better soon. They may never really know what the culprit is; let's just get him better!
  10. by   duckie
    Originally posted by deespoohbear
    As someone who lives in Indiana, I take offense to this reference of our state. Maybe you ought to reconsider rephrasing that part of your post.....



    DITTO!!!!!!
  11. by   KaroSnowQueen
    Update:
    Released from hospital. Comedy of errors. Dear Lord. CT scan of lungs, gall bladder and liver negative. Did have fatty liver, doc asked if he was alcoholic. Kid hasn't drank more than ten beers in two years. Sheesh.
    Did do sputum culture before ABT. Negative. Blood cultures negative. WBC normal. Fever if off of ABT, stays down if on ABT. Histoplasmosis negative. No upper respiratory symptoms. Has productive yellow cough. Feels like heck. No pneumonia shows on xray. Still feels bad and weak. Off work indefinitely per MD.
    Sent him home on Avelox, one daily for 12 days and Zithromax, TWO pills daily for two weeks. Said frankly they have no idea what is wrong with him, and have no idea what to do for him, and did NOT refer him to any other doctor or hospital.
    Found some good pulmonary docs in Louisville, she is calling their insurance today to see if they are covered on their plan.
    If you read my original post, they called him at home after OP lab and CXR, told him to go to hospital. I asked him WHAT made them send him to hosptial, as they are now telling him all labs, and CXR WNL. Very strange.
    Last edit by KaroSnowQueen on Mar 21, '03

close