| 9:02 AM
Herpes contamination during travel_Health awareness
The patient recently took a trip to Hawaii which was a cruise. She departed from California port of call and
stopped in Hawaii after 4 days in that ship.
There were no exposures to wild life or exotic situations, but there was
what seemed like a viral sinus infection that her husband contracted and he is still
ill. He initially received antibiotics
from the cruise physician and he started to feel slightly better, but not completely
and receive stronger antibiotics when he got here from his primary care physician. He is still somewhat ill, but is going to
work and is recuperating. She then
contracted her illness and became much more ill. She did not have hemoptysis, but had a
productive cough. She has wheezing,
shortness of breath, dyspnea that had been worsening over the last week that
started 6-7 days ago and continue to worsen such that she came at
hospital. After admission, she had, on
CAT scan imaging, to be found bilateral infiltrates and received antibiotic
therapy. She was started on azithromycin
and Rocephin that has been continued and she does feel better and she does that
her energy level has improved significantly, but she still having a lot of
phlegm production. She cannot sleep flat
due to the congestion. She is receiving
nebulizer treatments appropriately and due to wheezing and shortness of breath
and congestion. She was started on
steroid prednisone orally, which has then been tapered yesterday. She states that the nebulizers help her bring
a lot of mucus production up and she is feeling better from that
perspective. She has not had a leukocytosis
other than recently and it has been worsening over the last 2-3 days, but the
prednisone confounds that interpretation.
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