| Day of admission |
Events |
| 1 |
The patient was admitted to the emergency room for a mechanical fall; image studies did not reveal acute injuries. |
| 1 |
The patient developed fever, tachycardia, hypotension, and leukocytosis concerning sepsis. The provider decided to pan-culture, including blood culture, urine culture, and sputum culture, to search for an infection source. However, a sputum culture was not sent as the patient did not have sputum. Meanwhile, the patient was given empirical antibiotics, vancomycin and cefepime, and fluid resuscitation, which improved the patient's vital signs. |
| 4 |
Blood culture came positive for Serratia marcescens. She was susceptible to all the antibiotics. Urine culture was negative. The infection disease physician recommended switching antibiotics to ceftriaxone per sensitive test results. |
| 5 |
The patient's general condition normalized after antibiotics therapy; a repeat blood culture from 02/13/2022 remained negative for three days. |
| 5 |
The infection disease physician recommended switching to levofloxacin po 500mg, Q24hrs (02/16-02/18) for better compliance when the patient is discharged home. |
| 10 |
The patient's general condition is good, and she is discharged home. |
