OUTCOME AND FOLLOW-UP
It’s promising that the patient’s infection markers were improving and a
switch to piperacillin-tazobactam was initiated for antimicrobial
treatment. However, the subsequent episodes of hemoptysis, loss of
consciousness, unresponsiveness, speech inability, and urinary and bowel
incontinence are concerning. It’s reassuring that emergency treatment
was successful in helping the patient regain consciousness.
Unfortunately, the patient’s family decided against further treatment
and opted for discharge. It’s essential to ensure they understand the
potential consequences and risks associated with their decision. It’s
also important to provide guidance and resources for home-care if
necessary, and encourage them to seek immediate medical help if the
patient’s condition deteriorates.