From: What is the role of Ewingella americana in humans? A case report in a healthy 4-year-old girl
Findings | Admission | After 2 days | After 4 days (at discharge) | After 28 days (follow-up) |
---|---|---|---|---|
Clinical objectivity | Productive cough, fever, tachypnea, dyspnea with retractions, grunting, nasal flaring, fine crackling rales in the left upper field, bilateral wheezing | Resolution of dyspnea, improvement of the rales | Good cardio-respiratory objectivity, no more rales at auscultation | Good general conditions and complete resolution of symptoms |
Oxygen saturation | 96% | 98% | 99% | 99% |
Chest X-ray | Segmental consolidation of the lingula in the left lung | |||
Leukocytes (cells/mm3) | 15,810 | 10,340 | 8600 | |
Neutrophils, % | 50.3 | 50.8 | 45 | |
Lymphocytes, % | 39.3 | 31.5 | 40 | |
Monocytes, % | 7.9 | 9.9 | 9 | |
Eosinophils, % | 2.1 | 7.5 | 5 | |
Basophils, % | 0.4 | 0.3 | 1 | |
Procalcitonin, ng/mL | < 0.12 | |||
C reactive protein, mg/dL | 1.19 | 1.71 | 0.31 | |
IgG anti-Chlamydia pneumoniae | 0.2 | |||
IgM anti-Chlamydia pneumoniae | 0.7 | |||
IgG anti-Mycoplasma pneumoniae | < 0.1 | |||
IgG anti-Mycoplasma pneumoniae | 2.4 | |||
Blood culture | Positive for Ewingella americana | |||
Mantoux Test | Negative |