Contact Us

Happy Patients (Master Anupam Maurya) 😊

Master Anupam maurya school going 14 year male weight 27 kg ,he is Resident of SEETÀPUR on 15 of Feb 2024 ,Came in my OPD with complaint of Fever,cough last 1month and breathing problem last 3 day associated with decrease appetite and unable to walk without support patient was treated out side with some local practitioner iv Monocef iv pcm some supportive drug but couldn’t get relief in any of these symptoms. Patients got admitted in nearby hospital some basic investigation suggestive of (CRP; 220, TLC ;15000,P50 L40, SGOT 340, SGOT480, SrBil 3.5, INR 2.25 ,ESR 40,Human retrovirus non reactive ,urine RM shows epithelial cell 60 pus cell40? Possible urinary tract infection. CEHST X-ray bilateral effusion with mid zone consolidation, mean while iv Piperacilllin and vancomycin strated after sending blood culture and continue with supportive medical care! USG shows biliary sludges with enlarge reactive messenteric lymph node Ascitis with Per Abdomen clinically revealed as guarding and rigidity and shifting dullness Fever was on going persting on following medication by day2 . Patient further invested as mantuextest negative GA, AFB Day1 ; negative and Gene xpert,awaited . HRCT shows bilateral extensive loss of lung tissue and effusion atelactsis consolidation ? Infective etiology possible tubercular in origin . DAY 2 AFB showd some acid fast stain bacilli and by day 5th of admission CBNATT shows Rifampin sensitive mycobacterium. Finally ATT was started on 17 of Feb 24 and and continue till as per guidline . Blood came out sterile and urine culture came to E. COLI sn to gentamicin vancomycin stop and switch to Gentamicin injection piperac aslo has been stop by day 7 day and switch to oral Augmentin an othe 5 day as per microbiology discussion. Finally pt became clinically better and discharge over 7 day On ATT . USG Kub done report came out normal. Child is still follow up with me Family was screened for same. Current weight 37 kg, going school well and scholastic performance was good no other constitution symptoms. Family was very happy 😀 I feel blessed of respected teacher senior , parents and family who taught us that I managed so sick patient.