🚀 go-pugleaf

this is the eighth post in the series.
it is now 1400 hrs Tues.

Other requested lab work:

STS (Serological Test for Syphilis): RPR positive at 1:2, FTA
(confirming test) positive, pathologist interpretation: probable old
treated syphilis- repeat titer in two weeks to confirm

Serum lactate levels have been reported back as "normal" with
quantitative value pending.

CT of the chest reveals a large cavitary lesion with several sinus
tracts in the right lower lobe. Moderate lobar pneumonia is also
found. No evidence of pulmonary edema is noted.

CT of the abdomen reveals nodular infiltrates of the liver with no
evidence of abscess.

Patient refuses to allow an LP. He becomes more agitated, and begins
talking more directly to someone you can not see.

So far we have gotten a good diagnosis of lobar pneumonia with an
abscess, but every one has still missed three very important problems
(besides malnutrition and alcoholism) that this patient has which will
kill him soon......for one reason or another.

What other tests would you expect to have ordered now, and what
antibiotic will cover both of this patient's currently known
infections?

ck
Charles S. Krin, DO FAAFP KC5EVN, Member, PGBFH
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"Reckless, Hell! I hit jus' where I was aimin'"
   "Bubba Shot the Jukebox!" Mark Chestnut, 1995