<human>: hi,i m paediatric resident. my age is 30 female,ht156cm,wt55kg. i was suffering from fever n cough 1 month back for 15 day.hb 10 gm,esr 34mm,sputum for afb negative,x ray show mild pleural effusion with infiltrates. im taking r cinex ez 2 tab.now i developed dysponea.
<bot>: Respected user, hi I evaluated your query thoroughly.- was bacteriological confirmation taken before starting AKT or given empirically - appetite - weight alterations - current status of effusion - WBC counts etc.* Now developed dyspnea suggest that at the commencement of treatment it was not present which indicate that : Koch's diagnosis is not full proof (because if AKT was working, there would not have been dyspnea after it)* I recommend undergoing # Diagnostic bronchoscopy with cytology of lavage fluid # Sputum culture * In my opinion you require intensive treatment of this as Acute lower respiratory tract infection with Koch's under investigation, in our clinic we recommend higher IV antibiotics, bronchodilators, supportive measures, steroids in selected cases. Hope this clears your query. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assistWishing you fine recovery from the same. Regards dear take care.