Concluded Case

29 female KCO POTTS SPINE,PSOAS ABSCESS BILATERAL WITH PULMONARY KOCHS

Not relieved by taking ATT(HRZE + KANAMYCIN) FROM 2 MONTHS,INJ AMOXCV,INJ METHYL PRED. Chief Complaints Fever on and off. No weight gain Investigations Prev crp 134,now 32 Chest xray,mri attached. Management Please suggest valuable opinions

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Psoas abscess with potts spine Opinion of orthopedic Drainage of psoas abscess I& d Culture and sensitivity Cbnat Rt middle lower consolidation Hrct Opinion of chest Orthopedic

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Hydropneumothorax rt side as homogeneous opacity seen rt lower zone As he is a c/o Potts spine& psoas abscess Likely a/w secondary infection chest with infective consolidation with pleural effusion rt side Hence not relieved with only ATT Adv tapping of pleural effusion for diagnostic and therapeutic treatment Along with ATT add antibiotics likely Inj lenazolinid and inj levofloxacine

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CXR PA view is showing pleural effusion.kindly send pleural fluid for Cyto bio and GS with AFB,CBNAAT and LPA Adv spine support Lumbar belt till then continue ATT but change after the reports of pleural fluid

Psoas abscess with potts spine Opinion of orthopedic Drainage of psoas abscess I& d Culture and sensitivity Cbnat Rt middle lower consolidation Hrct Opinion of chest Orthopedic

Thank you doctor
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Pleural effusion treatment,? treatment according symptoms

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