Monday, July 20, 2009

60 year old diabetic male , survives serious sepsis ( intraabdominal ,post op), Needs prolonged ICU care , multiple antibiotics and just after discahrge starts getting cough and exertional dyspnoea. He is on linezolid and Levofloxacin at discahrge.He has normal WBC counts and procalcitonin levels are low. Clinically no sepsis.Describe the radiodesnsities and possible diagnosis?
multiple patchy consolidations, some nodular densities and areas with lot of bronchial wall thickening, clinical set up indicates non infective etiology.This was bronchiolitis obliterans with organizing pneumonia.
The symptoms responded to steroids and within 2 weeks CT normalized.

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