Loading
5-mo baby, 5.5 kg, admitted with typical pneumonia, on cefotax for 1 day, and shifted to Cefepime.
CRP -ve
WBCs 10 mainly Lymphocytosis
Blood culture not available yet
Normal temperature
Immunoglobulin A, E deficiency
History of five times hospital admission with pneumonia, last one 2 weeks ago.
Is this case indication for immunodeficiency and needs Diflucan prophylaxis from suspected fungal infection?
Thal patient has 2 risk factors as he is immunocompromised with multiple hospital admissions
Does he was ventilated?
Risk of cap and MDR also increased
Non elevated crp also may indicate of viral pneumonia
angifungal prophylaxis may be recommended
Viral screening also suspeced
You can review the full guideline at the following link
https://pmc.ncbi.nlm.nih.gov/articles/PMC6790888/