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1. CASE STUDY ON
STREPTOCOCCAL SEPTICEMIA
AND SPONDYLYSIS
09408103
11-3-14

2. PATIENT INFORMATION:
NAME:MRS X AGE: 75 YRS
SEX: FEMALE D.O.A:1-3-14
D.O.D:5-3-14

3. CHIEF COMPLAINTS:
FEVER SINCE 2 DAYS
SEVERE BACK PAIN
HISTORY OF PRESENT ILLNESS:
HIGH GRADE INTERMITTENT FEVER
CHILLS AND RIGORS

4. PAST MEDICAL HISTORY: NIL
PHYSICAL EXAMINATION:
TEMP:101°F
PULSE: 100 BEATS/MIN
BP:130/70mm hg
RR:28 BREATHS /MIN

5. SYSTEMIC EXAMINATION:
CVS:S1S2(+)
RS:NVBS
CNS:NFND
ABD:SOFT

6. LAB INVESTIGATIONS:
PLATELET:93,000 micro litre(1.5-4.5lakhs)
OTHER TESTS:
BLOOD CULTURE: FOUND GRP A
STREPTOCOCCAL BACTERIA.
MRI SCAN: NARROWING OPF THE SPINAL
COLUMN

7. DIAGNOSIS:
STEREPTOCOCCAL SEPTICEMIA
LUMBAR SPONDYLOSIS

8. DRUG CHART:
DRUGS DOSE R.O.A FREQUEN
CY
NO OF DAYS
INJ OFRAMAX FORTE 1.5g
ms
IV BD
INJ PANTOCID 40
mg
IV BD
INJ LINEZOLID 600
mg
IV BD
INJ EMESET 4mg IV SOS
TAB IBUPROFEN 400m
g
P/O BD
TAB DOLO 650
mg
P/O BD

9. DISCHARGE ADVICE:
TAB PARA 65O mg
TAB OFLOX 200 mg
TAB PANTOCID 40 mg
TAB IBUPROFEN 400 mg