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.