A case of pneumonia with high fever despite treatment

Abstract

The most common cause of fever is infections. In pneumonia patients having high fever despite empirical antibiotic therapy, the most common cause of fever is inappropriate antibiotic prescription or postinfectious complications such as empyema. However, other possible causes such as neoplasia, connective tissue diseases can also be found simultaneously with pneumonia. In this case report, we want to emphasize the necessity of a careful physical examination in patients with pneumonia, especially in elderly patients, since they may have other pathologies which may cause fever.

Keywords

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Tedaviye rağmen yüksek ateşle seyreden pnömoni olgusu

Abstract

Enfeksiyonlar, ateş yüksekliğinin en sık sebebidir. Ampirik antibiyotik tedavisine rağmen ateş yüksekliğinin devam ettiği pnömonili olgularda, en sık ateş nedeni uygunsuz antibiyotik seçimi veya ampiyem gibi postinfeksiyöz komplikasyonlardır. Ancak bu hastalarda, neoplaziler, kollajen doku hastalıkları gibi başka olası nedenler de eşzamanlı bulunabilmektedir. Biz bu olgu sunumuyla, özellikle ileri yaştaki hastalarda, pnömoninin yanı sıra ateş yüksekliğine neden olabilecek başka patolojilerin de var olabileceğini, bu açıdan hastaların fizik muayenelerinin dikkatle yapılması gerektiğini vurgulamayı amaçladık.

Keywords

• Pnömoni, Nedeni Bilinmeyen Ateş, Romatoid artrit

References

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