Dev Prakash Singh Rathour1 , Shubham Singh2 , Naveen Tandon3 , Pragat Gupta4
On 2nd August, a 10 yrs. old female patient, weighing 23 Kgs. presented with sudden onset of hyperpyrexia along with severe right sided chest pain and nonproductive cough for past 3 days. No Family history of Tuberculosis and Allergy noted. No past history of passage of worms in stool or allergy noted. On examination, occasional crepitations were noted over right upper chest posteriorly; other parameters were normal. Chest skiagram depicted soft opacity in right middle zone. Blood examination show (column I) polymorphonuclear lymphocytosis, Hb 12.2 gm%, white blood cell count 16,300 cells/cumm, ESR 12 mm in first hour, Mantoux test turned out to be negative; platelets were adequate; stool was negative for ova and cyst. Patient was initially managed as a case of bacterial pneumonitis with Cefixime 100 mg BD and Acetaminophen.On 2nd August, a 10 yrs. old female patient, weighing 23 Kgs. presented with sudden onset of hyperpyrexia along with severe right sided chest pain and nonproductive cough for past 3 days. No Family history of Tuberculosis and Allergy noted. No past history of passage of worms in stool or allergy noted. On examination, occasional crepitations were noted over right upper chest posteriorly; other parameters were normal. Chest skiagram depicted soft opacity in right middle zone. Blood examination show (column I) polymorphonuclear lymphocytosis, Hb 12.2 gm%, white blood cell count 16,300 cells/cumm, ESR 12 mm in first hour, Mantoux test turned out to be negative; platelets were adequate; stool was negative for ova and cyst. Patient was initially managed as a case of bacterial pneumonitis with Cefixime 100 mg BD and Acetaminophen.
