CASE DISCUSSION By Dr. Zahoor

CASE HISTORY

A 45 year old man presents with sudden onset of shaking chills, fever and productive cough. He was in good health one week ago when he developed mild nasal congestion and body aches. Last night he became feverish and developed cough with right sided pleuritic chest pain. He is smoker. On examination Temperature - 102oF O2 saturation on room air – 100% Chest examination – bronchial breath sounds and end-inspiratory crackles in right lower lung field. Percussion note dull at this area.

Questions What is most likely diagnosis ? What first investigation you will order ? What is most likely organism ? How you will manage this patient ?

Answers Community acquired pneumonia X-ray chest Most commonly caused by S pneumoniae. Other organism M pneumoniae, Haemophilus influenza Oral antibiotic Relief pain Antipyrettic Cough suppressants

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