Doctor insights on:
Stenotrophomonas Maltophilia Pneumonia
How long should it take for Levoflaxin to kick in for Serratia marcescens and Stenotrophomonas maltophilia In the sinuses? I've been taking it 4 days.
5 days.: Sinus infections are tough to treat because the blood supply to the sinuses is poor (the arteries are small). It may take 5 days of antibiotics before you start to see some change in the color of the mucus. If no change at all, call your doc If you are only 50% better by the time you finish the antibiotic, it means it's working, but you need a second course to kill all the rest of the germs. ...Read more
Why did a sinus culture test positive for Stenotrophomonas maltophilia and Serratia marcescens but no white cells?
Commensals: Without white cells on a smear, very likely these are harmless microbes that just happened to be living there. ...Read more
Could plaquenil (hydroxychloroquine) for UCTD make me susceptible to Serratia marcescens and Stenotrophomonas maltophilia in two sinus cultures?
Maybe but less likel: Plaquenil (hydroxychloroquine) is an immunomodulator and can certainly increase the chance for certain infections. I don't think it is a very significant amount of increase though. On the other hand, Stenotrophomonas tend to be seen in individuals that have had recurrent exposure to different antibiotics. I would guess you might have had recurrent sinusitis (or other infections) where you were treated with abx. ...Read more
How could we tell?: This is the public information HT site. You get the most from the site when you provide background information on a problem and ask a specific question based on that information. Without symptoms and other description of your problem, we have no basis for any conclusions. You are welcome to start over. Your posts are never linked & go to the site at random. ...Read more
Pneumonia is an infection of the lungs causes by bacteria or virus.
Bacterial pneumonia is more common in community and needs antibiotics. The prognosis depends on various factors like, immunity, age, severity of pneumonia, associated medical conditions like other lung disease, smoking, diabetes etc. The patient will need to see a doctor for exam, investigation and treatment. ...Read more
No such medical cond: Your doctor maay be trying to simplify for you to understand that you might develop pneumonia, which can happen if you have bronchitis following sore throat and upper respiratory virus infections which are very common. Sometimes a pneumonia will follow after such infections. ...Read more
Sometimes: Sometimes pneumonia is a simple viral process that self heals. It can also be an aggressive bacteria that invades the body starting with the lungs and can kill within days if not discovered and treated. Jim Henson, the puppet master that created the MUPPETS did not get treated for his pneumonia until it was too late, and died because of it. ...Read more
Pneumonia can be: Diagnosed on many occasions simply via a thorough history, and physical examination. You can hear rales on examination of the lungs. On laboratory examinations the white count is often elevated. If there is a question the doctor may also order a chest xray. ...Read more
Pneumonia: Need more information. If you are having fever, cough with sputum production, chest pain, shortness of breath, chills, etc., you may be getting pneumonia, but this needs careful evaluation by a clinician. If you suspect you may have pneumonia you should be seen by a doctor asap. ...Read more
Respiratory droplets: Pneumonia is spread from person to person via respiratory droplets released when a person coughs, sneezes, laughs, or talks. The bacteria can live in a person's throat without causing symptoms, so you can even get it from a person who doesn't look sick. Avoid the spread of germs by washing your hands regularly, covering your mouth when you sneeze or cough, and being cautious around sick people. ...Read more
Signs of pneumonia:
A persistent cough and fever over 102 fever commonly with shaking chills and sweating (although older people may have lower-than-normal body temperature), shortness of breath,
chest pain that fluctuates with breathing (pleurisy), occasional headache, muscle pain, fatigue. ...Read more
Few causes: Most pneumonias caused by inhalation of organisms such as bacteria, viruses, and fungii. Defense mechanism of body reacts to infection with white blood cells as defense. More pneumonias occur in immune compromised individuals. Aspiration is another cause of pneumonia, Food and liquids go into lungs. A lot of times patient drunk or neurologically compromised. ...Read more
Hmmmmmm?: I assume you are referring to an "infectious disease" doctor. An id doctor is an internest who has subspecialized in infectious diseases. They treat and make recommendations for treatment on many infection states. Some practice independently and treat a panel of patients primarily. Most are consultants to other physicians and make recommendatins on treatment. They are a expert on pneumonia. ...Read more
Dozens: Pneumonia (inflammation of lungs) may be due to non-infectious conditions including medications, collogen-vascular disease, conditions like sarcoidosis, etc. It can also be caused by bacteria, viruses, fungus, parasites. It can occur by aspiration of material from above, extension thru the blood stream, by direct penetration or extension from adjacent structures. Complex subject. ...Read more
How concerned?: If someone you love died or suffered badly with pneumonia, it may affect you. Hopefully it will make you not want to smoke -- the habit increases risk. If you have the obsessive idea that you will get pneumonia, and it's troubling you, a short course of psychotherapy to learn to substitute better thoughts / understand yourself might be in order. ...Read more
Need more info:
Can you clarify the "lat. Sin" phrase? Was this information you received from the hospital or a physician?
Thank you. ...Read more
Most forms - yes.: There are some bacteria and viruses that specialize in causing pneumonia. These are definitely contagious. For older folks or folks that have immune problems/chronic diseases, these patients can get protection with a 'pneumonia shot'. Then there are 'flu' shots that I'm sure you've heard of. Some types of pneumonia don't spread like 'choking on your vomit' - we call that aspiration pneumonia. ...Read more
Infection plus: This is imprecise term but "sepsis" is said to exist when there are signs of a generalized inflammatory response in the body, this includes fever, elevated white cell count, rapid heart rate and respiratory rate, abnormally low blood pressure. If the source of the infection causing this is the lung, then the patient may be said to be septic from pneumonia. ...Read more
Depends: Pneumonia is inflammation of one or both lobes of the lungs. Frequently caused by infection but not always (chemical). Infection may be caused by viruses, bacteria, parasites, fungal etc. Sx include chills, fever, productive and or nonproductive sputum, chest pain, SOB. Dx clinically or with chest xray, sometimes labs blood, urine sputum cultures. Medicine depends on cause. Legionella not contagio ...Read more
Bacteria...: Klebsiella pneumoniae is a specific bacteria that can cause bronchitis and pneumonia. It is cultured from the sputum and the lab also reports what antibiotics the organism is sensitive to (ie what antibiotic will kill the organism!). Whether you have bronchitis or pneumonia is determined by your doctor based on clinical signs and symptoms. ...Read more