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Nephrology/Dialysis Pneumonia

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Question
Dear Doctor,

My brother is diabetic and  has kidney disease. He has been on dialysis almost 15 years. Now he is 41.
Recently he got pneumonia that worsened quickly and he got in reanimation. After 1 week he was released from hospital still prescribed to take some antibiotics (Augmentin) for 1 week at home.
But after taking prescription he still had temperature of 37.0 at evenings. Yesterday he took X-Ray (but before the dialysis procedures) and it revealed the small amount of water in both lungs. The doctor prescribed antibiotics (from cephalosporins class). He is given dialysis three times a week. His weight is 57kg.
Can you give us some recommendations/prescriptions/instructions?

BR/George

Answer
It appears that your brother is not getting enough fluid removed during dialysis which is causing wetness in lungs which tends to predispose to Pneumonia. I think gaining less fluid in between dialysis treatments and trying to remove fluid more aggressively during dialysis treatments + ABX will help the pneumonia resolve quickly

Patients on dialysis tend to be immune compromised and have a much higher rate on infections.

Cephalosporin class antibiotics are commonly prescribed for pneumonia.

Thanks

Nephrology

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RAJ P. SINGH M.D.

Expertise

I can answer questions related to kidney diseases, Kidney Transplant and hypertension. I am Board certified in Internal Medicine and Nephrology. I also serve as assistant professor at major Medical Universities.

Experience

Practicing Nephrologist in Las Vegas, Nevada

Organizations
www.ksosn.com

Publications
Many

Education/Credentials
MD Internal Medicine board certified Nephrology and Hypertension Board certified

Awards and Honors
E.K.G Excellence Award, University of Nevada school of Medicine Thumbs Up Award, university of Nevada School of Medicine Best Pharmacology Student, VMKV Medical School EKG Excellence Award Thumbs Up Award Las Vegas Life Top Docs 2013 Health Tap Founding Medical Expert Health Tap Winter 2013 Competition Top Doctor Health Tap Summer 2013 Competition Top Doctor

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