Table 1. Clinical presentation and medical history of this patient outside of our hospital.
Clinical variables | June 5, 2013–June 26, 2013 | June 28, 2013–July 13, 2013 | August 20, 2013–September 2, 2013 |
---|---|---|---|
Symptoms | Fever (>39 °C); nonproductive cough; chest congestion |
Fever; intermittent cough | Fever (38 °C); fleeting chest pain; discomfort below xiphoid |
Laboratory data† | |||
WBC (4–10 g/L)‡ | 13.4 (82.7% neutrophils) | 10.5 (75% neutrophils) | 7.69 |
CRP (<8 mg/L)‡ | 96.0 | 29.2 | 7.27 |
Blood cultures | NP | NP | NP |
CAT (<1:32)‡ | NP | NP | 1:256 |
Radiography† | Lobar air-space opacities in the right lower lung field (Figure 1) | Consolidation in the left upper lobe | Patchy opacification with air bronchogram in the right upper lung field and small area of ground-glass opacity in the left upper field |
Treatment | Cefuroxime for 6 days | Cefepime for 2 weeks | Mezlocillin for 12 days |
Outcome | Fever (fluctuating around 39 °C); WBC 12.1 g/L (85.8% neutrophils); CRP 23 mg/L; a new lesion of consolidation in the left upper lobe |
Little cough; diffused nodular opacities in the left upper field |
Occasional chest pain; patchy opacification in the right lower lobe |
†, results obtained on admission respectively; ‡, normal values are in parentheses. WBC, white blood cells; CRP, C-reactive protein; NP, not performed; CAT, cold-agglutinin titer.