A 29 year old female patient reported with severe Right sided chest pain followed by high fever. The pain was very severe and she was given Injection Diclofenac and Paracetamol which brought down the pain and temperature. CBC no abnormal cells but TLC raised to 13000 cells and ESR 65, CXR PA View shows? minimal blunted ? costophrenic angle. She was started on Inj.
Ceftriaxone with Sulbactam 1.5 gram which controlled the fever. Then changed to oral Amoxi _ Calvu 625. The TLC after 5 days of antibiotic has reduced to 9000 cells, but ESR is rising and has risen to 120. The fever subsided in two days but she developend severe headache with vomiting, there is no neck stiffness. The pain was focused on the Left side of the head which included the pain on the frontal sinus areas. As injectable pain killers did not relieve the pain 10% Manitol was give which relieve the pain and she was doing…
