Doctors Lounge - Pulmonology AnswersBack to Pulmonology Answers List
If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge (www.doctorslounge.com) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.
DISCLAIMER: The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.
Date of last update: 10/19/2017.
Forum Name: Pneumonia
|jb03530 - Sun Mar 25, 2007 9:43 pm||
59 year old male/ diagnoses small cell lung cancer- right lung/ four inconclusive diagnosis/ 2 needle (ct scan guided) tissue biopsies, 1 plueral effusion biopsy/ 1 bronchial scope biopsy - 1 year in treatment - 3 different chemo treatments/ 1 series of radiation/ little to no change in the mass, no mestatisizing to any other area of the body/ unresolving pneumonia and daily fevers, constant chronic cough, weakness on the right side of the body/ trembling right hand. Many blood cultures for the fevers- all return a negative result, have been given levequin on a regular basis - no positive results, avelox - no positive results, fluconazole - no positive results/ recently hospitalized for 9 days - fever of 103, fungus growth in mouth and throat, open seeping lesions on the back, massive doses of IV fungal and antiobiotic medication/ low red count - white count - 0 -four units of blood and 1 unit of platletts administered at this time. Currently I have a temp of 102, and a bumpy rash has developed subcutaniosly on the palm of my hands. Have had two right lung collapses. At the occurance of the second one a catheter was placed on the right side to allow daily plueral effusion drainage, approx 300 ML daily for 3 weeks. I have had two strokes while hospitalized 1 year ago, pulmonary embolism in the lung and blood clots in the right arm. A filter was placed in the artery above the right lung to prevent additional clots from moving in the lung. I also have afib, controled with digitox. Mother had luekemia, and a staph infection contracted while nursing. I was a smoker for 30 years and also have mild emphysema. I use spriva daily and albuteral inhaler daily. Not on oxygen, oxygen levels have been in the 95 to 98 percentile range. Blood pressure - 102/70. I will be starting another new chemo treatment in two weeks.
|Dr. Chan Lowe - Mon Mar 26, 2007 5:10 pm||
If I understand your post correctly, your WBC count is very low (zero?). In this circumstance, the diagnostic possibilities completely change. One must always consider typical infections; however, at this point the body is immunocompromised, so the opportunistic infections must also be considered.
On top of this, the inflammation from your cancer may also be triggering the fevers.
I would strongly suggest you continue with very close follow up with your oncologist and consider requesting an Infectious Disease specialist consultation.
|| Check a doctor's response to similar questions|
Are you a Doctor, Pharmacist, PA or a Nurse?
Join the Doctors Lounge online medical community
Editorial activities: Publish, peer review, edit online articles.
Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.