Management
The patient was empirically treated initially with Piperacillin
Tazobactam and Vancomycin which was subsequently changed to
Ampicillin-Sulbactam and Ceftriaxone after the TTE results. She was
given aspirin and colchicine for pericarditis.
The patient continued to have episodes of shortness of breath
accompanied by reduction in oxygen saturation which improved with
supplemental oxygen. CT angiogram of the Chest excluded the possibility
of septic pulmonary embolism. However patchy ground glass infiltrates
consistent for viral pneumonia and right middle lobe consolidation was
present. She was treated for hospital acquired pneumonia with subsequent
resolution of symptoms. A peripherally inserted central catheter (PICC)
line was placed and patient was transferred to a subacute rehabilitation
center for completion of antibiotics. She responded well to the course
of antibiotics with plan for repeat echo on follow up.