A-Can’t-Miss-it Critical Care Catastrophe

Abstract

Since Midwest in USA is very cold during winters, I see many cases of pneumonia. But this was a case of ‘missed pneumonia. Á 49 year old African American male patient was not feeling well for two days and was admitted to the hospital with severe headache and high grade fever. Lumber puncture was performed and the patient was put on inj ceftriaxone and inj vancomycin. Chest x-ray was performed on admission, was unremarkable and did not show any infiltrates. An infectious disease consultant was involved in the care of this patient and on his recommendation ceftriaxone and vancomycin were stopped after 24 h, as there was no evidence of meningitis.