A 76 years female presented with h/o high-grade fever for last 5 days. No h/o cough cold and breathlessness. She has the comorbid condition of diabetes, hypertension and hypothyroidism on regular treatment and under control. She was advised CBC, x-ray chest, urine examination. Chest x-ray showed blunting of left cp angle. Urine exam was normal, CBC also normal. Inj. Ceftriaxone 1gm i/v twice a day was given along with tab dolo 650 8 hourly for 2 days.
There was no improvement patient was suggested swab for COVID 19 and also CT scan chest plus blood culture. CT scan showed left pl. effusion puls pneumonitis..spleen also showed an abscess. The patient was put on Inj piperacillin plus tazobactam 4.5 gm twice a day and Ceftriaxone was stopped. After 3 Inj patient became afebrile. Repeat CBC and chest x-ray has been advised and treatment to be continued for 7 days.
