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Reload this Page A Case of Recurrent Pneumonia & Sepsis
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MedSchool Forums USMLE QBank What are the major and minor Jones criteria for Acute Rheumatic Fever?
Spoiler for Answer:
Major: Migratory asymmetric polyarthritis (75% cases), carditis(35%), chorea (syndenham's)(10%), subcutaenous nodules(10%), erythema marginatum (10%)

Minor: Clinical findings of arthralgia and fever, laboratory abnormalities (ESR and CRP), ECG (prolonged PR), Supporting evidence of antecedent streptococcal infections (ASO titer)

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Old 17-08-06, 10:10   #1
doctor_b
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Join Date: Jan 2006
Location: Dublin, Ireland
Age: 31
Posts: 145
Case A Case of Recurrent Pneumonia & Sepsis
PC: 77yo female presented with SOB, fever & chills 5/7. intubated on admission due to worsening SOB.

PMHx: Recurrent chest infections over past 6/12, HTN, emphysema, CHF and lower limb lymphoedema.

O/E: Rhonchi in all 4 zones, bilateral crackles at lung bases. Rest of examination was non-significant.

Labs: WBC=22,000. Neutrophils = 25, Bands = 52, and lymphocytes =1

Chest X-ray:
Spoiler for Answer:
Day 0: Day 5:


Rx at this time: IMIPENIM & MOXIFLOXACIN

Microbiology: H. influenzae in blood, staph. aureus in sputum

Spiral CT & Report:
Spoiler for Answer:


Immunology:
Spoiler for Answer:


Diagnosis:
Spoiler for Answer:
Isolated Immunoglobulin G Deficiency in a 77yo F resulting in recurrent pneumonia and H. influenzae bacterial septicemia
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