It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Lung & Respiratory Disorders / COPD Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 12-16-2003, 03:40 AM   #1
Junior Member
 
Join Date: Apr 2003
Location: canada
Posts: 22
amed HB User
pneumonia diagnosed as bronchitis?

Here's my story, if you have any insights, I'd appreciate...

A year ago I got sick, coughing, tight chest, fatigue, chills, fever, blah blah blah...Went to doctor, was told that I had bronchitis, was given 5 day "bomb" penicillin, didn't work. Then had 7 days of another form of penicillin, didn't work. Then given 10 days of some other penicillin. The last mostly worked, but I never felt 100% after that, almost like there was still something there. My chest never felt completely clear. doctor never took chest xrays - now that I think about it this is very odd.

Anyway, a year has passed and the exact same symptoms have returned. I have gone to the doctor (a different one), and had my chest xrays and have bacterial pneumonia, am on 4th day of amoxicillin 500mg, and am steadily improving. Wow, how easy(knock on wood)!!!

So now that I look back, I'm almost positive that it was pneumonia I had a year ago, but never diagnosed. Of course, I guess it probably must have been viral pneumonia otherwise the antibiotics would have worked, right? What I'm wondering is if there's any way that pneumonia can lay dormant in your body for a year? Or a virus, how long do they "live"? With viral pneumonia, how long does it take to recover? and if you don't take it easy, can it stay with you?

I'm also really worried because now I think I've taken every form of penicillin on the market thanks to lazy doctors, and I really hope I haven't totally screwed up my body. Any ideas on how to repair damage? I'm also allergic to sulpha meds, so penicillin is my only alternative if I were to ever get seriously ill.

Thanks for any ideas.
__________________
You only live once

 
Sponsors Lightbulb
   
Old 12-16-2003, 02:10 PM   #2
Senior Member
 
Join Date: Dec 2003
Location: Denver Metro Area
Posts: 216
hc85 HB User
Re: pneumonia diagnosed as bronchitis?

You can have some pneumonias that live in your body for a long, long time...I know that in a person with asthma, the bacterium M pneumoniae can be in the airways of the lungs without causing a lung infection like pneumonia. In this situation it is colonizing not infecting the lungs. So it is not contagious. This colonization of the airways can make it difficult for the asthma medicines to help. Treating the M pneumoniae with an antibiotic can result in the asthma medicines improving the asthma symptoms.

I would ask your doctor about the possibilty of all of this.

 
Old 12-16-2003, 04:12 PM   #3
Senior Veteran
(female)
 
Join Date: Nov 2003
Posts: 702
LL29 HB User
Re: pneumonia diagnosed as bronchitis?

Hi amed and I may be wrong, but I'm pretty sure that antibiotics of any kind will not hurt you (unless you're allergic). The only way you would be harmed is if your body had way too many of them and you were to take ill and your body has become somewhat immune to their effect.

It's been a year so I'm sure you're fine if you had to take penicillian again. Make sure you take your vitamin C (help your immune system out) as well and don't smoke (hinders the healing process let alone can kill ya).

I hope you're all better now

Laurie

 
Old 12-16-2003, 07:53 PM   #4
Senior Veteran
 
Join Date: Nov 2003
Posts: 756
butterflytrans HB Userbutterflytrans HB User
Re: pneumonia diagnosed as bronchitis?

Quote:
So now that I look back, I'm almost positive that it was pneumonia I had a year ago, but never diagnosed. Of course, I guess it probably must have been viral pneumonia otherwise the antibiotics would have worked, right? What I'm wondering is if there's any way that pneumonia can lay dormant in your body for a year? Or a virus, how long do they "live"? With viral pneumonia, how long does it take to recover? and if you don't take it easy, can it stay with you?
Viruses can lay dormant in the body, but generally not the ones that cause pneumonia. You're in the clear there.
Quote:
I'm also really worried because now I think I've taken every form of penicillin on the market thanks to lazy doctors, and I really hope I haven't totally screwed up my body. Any ideas on how to repair damage? I'm also allergic to sulpha meds, so penicillin is my only alternative if I were to ever get seriously ill.
Don't worry....there are a lot of other drug classes besides sulpha and penicillin that can help out your pneumonia if you get it again (hopefully you don't!)

 
Old 12-16-2003, 08:44 PM   #5
Senior Veteran
(female)
 
Join Date: Sep 2001
Location: Edmonton, AB, Canada
Posts: 2,465
wrin HB User
Re: pneumonia diagnosed as bronchitis?

Not all antibiotics kill all pneumonia bugs. For example, the drugs that will kill the pneumococcus bug (the one that most often will cause pneumonia) will almost certainly not kill klebsiella or pseudomonas aeruginosa or mycoplasma pneumoniae.

And there are other drugs besides the beta-lactams (penicillins) and sulfonamides that are awesome antibiotics; things like cephalosporins, tetracyclines, aminoglycosides, lots of stuff.

Last edited by wrin; 12-16-2003 at 08:45 PM.

 
Old 12-16-2003, 09:06 PM   #6
Senior Veteran
 
Join Date: Nov 2003
Posts: 756
butterflytrans HB Userbutterflytrans HB User
Re: pneumonia diagnosed as bronchitis?

Quote:
Originally Posted by wrin
Not all antibiotics kill all pneumonia bugs. For example, the drugs that will kill the pneumococcus bug (the one that most often will cause pneumonia) will almost certainly not kill klebsiella or pseudomonas aeruginosa or mycoplasma pneumoniae.

And there are other drugs besides the beta-lactams (penicillins) and sulfonamides that are awesome antibiotics; things like cephalosporins, tetracyclines, aminoglycosides, lots of stuff.
Very true....very true. I wasn't meaning to suggest that all drugs can be used for pneumonia, I was just saying that there are more choices than sulpha and beta-lactams. In fact, in Canada, the first choice for a person under 60 with community acquired pneumonia is a macrolide like clarithromycin.....older people will usually get a respiratory quinolone like levofloxacin.

Good call on the pseudomonas though....there are only a handful of drugs that can be used to treat that nasty critter.

 
Old 12-17-2003, 01:55 PM   #7
Senior Veteran
(female)
 
Join Date: Sep 2001
Location: Edmonton, AB, Canada
Posts: 2,465
wrin HB User
Re: pneumonia diagnosed as bronchitis?

Good ol' Sue D. Monas
She's a wily one

 
Old 12-20-2003, 04:02 PM   #8
Senior Veteran
(male)
 
Join Date: Nov 2003
Location: Indiana
Posts: 503
jerrie97 HB User
Re: pneumonia diagnosed as bronchitis?

I thought it really depended on the bacteria's susceptibility to the antibiotic. For instance, I had been culturing Haemophilus influenzae for about a year that had been causing constant infections. It grew to be pretty resistant...but my infectious disease dr. found that it had a susceptibility to aminoglycosides, and he put me on inhaled tobramycin. That really did the trick. I only had to use two courses of it, and the H. flu. was gone. Aminoglycosides are more commonly used to treat more severe infections, such as Pseudomonas, Acinetobacter, Klebsiella, Enterococcus, Mycobacteria, etc. -- but since Haemophilus is Gram-negative, as are the bacteria above mentioned, it...died.

And now that I'm editing this, looking back, I see that the whole conversation was about S. pneumoniae (pneumococcus) whatever it's called now...and it's Gram-positive. I don't know where my mind went for a second.

Last edited by jerrie97; 12-20-2003 at 04:05 PM. Reason: My bad.

 
Old 12-21-2003, 11:52 AM   #9
Senior Veteran
(female)
 
Join Date: Sep 2001
Location: Edmonton, AB, Canada
Posts: 2,465
wrin HB User
Re: pneumonia diagnosed as bronchitis?

It depends on that too -- it's just another varying factor. There are some antibiotics that Absolutely Will Not Kill some bugs. You Absolutely Will Not Kill Haemophilus with penicillin. You Just Might kill Haemophilus with penicillin-related compounds, like ampicillin, or another class of drug, like the cephalosporins. Tobi is a big gun ... but hey, if it works... In fact, kids with CF regularly get nebulized Tobi (40 days on, 40 days off,) for prophylaxis against some particularly nasty chest infections. If the Haemophilus is resistant against the more traditional guns, we pull out the bigger ones.

That's one of the hugest reasons why Methacillin and Vancomycin aren't available outside a hospital, really -- because we have versions of streptococcus aureus that are resistant to all but one antibiotic now. It's to the point where they quarantine anybody coming from another hospital to culture them for MRSA as they call it (methacillin-resistant staphylococcus aureus) which can only be treated with Vancomycin.

But yes, your point proves one thing -- why culture and sensitivity studies are exceedingly useful

Last edited by wrin; 12-21-2003 at 11:54 AM.

 
Old 12-21-2003, 12:01 PM   #10
Senior Veteran
 
Join Date: Nov 2003
Posts: 756
butterflytrans HB Userbutterflytrans HB User
Re: pneumonia diagnosed as bronchitis?

Quote:
(methacillin-resistant staphylococcus aureus) which can only be treated with Vancomycin.
....and imipenem!

 
Old 12-21-2003, 12:06 PM   #11
Senior Veteran
(female)
 
Join Date: Sep 2001
Location: Edmonton, AB, Canada
Posts: 2,465
wrin HB User
Re: pneumonia diagnosed as bronchitis?

Presumably -- though my understanding was that Methacillin wasn't the only drug it couldn't tolerate -- and that the carbapenems were included in that list.

 
Old 12-21-2003, 12:43 PM   #12
Senior Veteran
(male)
 
Join Date: Nov 2003
Location: Indiana
Posts: 503
jerrie97 HB User
Smile Re: pneumonia diagnosed as bronchitis?

Microbiology is fun.

 
Old 12-21-2003, 01:05 PM   #13
Senior Veteran
(female)
 
Join Date: Sep 2001
Location: Edmonton, AB, Canada
Posts: 2,465
wrin HB User
Re: pneumonia diagnosed as bronchitis?

Yesh. I rike my pharmacorogy.

 
Old 01-03-2004, 05:59 PM   #14
Senior Member
 
Join Date: May 2003
Location: Alberta Canada
Posts: 186
crabbycdn HB User
Re: pneumonia diagnosed as bronchitis?

You said that Clarithromycin was the drug of choice to pneumonia. I was prescribed Levaquin (sp??). It was wonderful -- no side affects. I can't take clarithromycin - it makes me very sick. I was at the doctor's today and she phoned in a prescription for Erythromycin. I haven't got it filled yet. Is that the same drug as Clarithromycin? (Sheesh...the names...why can't they just call them Bob, Sue and George -- like hurricanes.) The doctor I saw was at a walk-in clinic and she never asked me about drug allergies and when I left I didn't know she was going to be prescribing an anti-biotic since the blood tests were not back yet.
__________________
Life....nobody gets out alive....so laugh and slam the door when you leave!

 
Old 01-03-2004, 09:59 PM   #15
Senior Veteran
(female)
 
Join Date: Sep 2001
Location: Edmonton, AB, Canada
Posts: 2,465
wrin HB User
Re: pneumonia diagnosed as bronchitis?

It is not the exact same drug but it belongs to roundabouts the same family (the macrolides). Considering that your doctor prescribed you another one from the same family I have a feeling that he thinks it's just a side-effect of the antibiotic that made you sick and that you are not genuinely allergic to this particular family. (Biaxin's some nasty stuff and makes lots of people sick.)

That said, if you're having the same symptoms of feeling super icky (which I suspect have something to do with not being able to keep food down?) then you should still have your antibiotic switched -- another reason why culture and sensitivy tests are super-awesome -- because they then have a lab-approved list of weapons to use in their arsenal.

Biaxin/Erythromycin and Levaquin (levofloxacin, a quinolone) are different drugs that work in different ways and as far as I know kill different things. Levaquin is a big-gun broad spectrum (both gram negative and positive) and Erythromycin is usually saved for S. pneumoniae and S. pyrogenes, and atypical (mycoplasma) pneumonia. They sometimes use it for the H. Flu but lots of them are resistant to Erythromycin so there's better drugs for that.

Erythromycin interacts with quite a few drugs, like the bennies (valium-type drugs) theophylline, digitalis, and the non-sedating allergy drugs terfenadine (Seldane) and astemizole (Hismanal).

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
After effects of pneumonia? Minicat General Health 7 02-22-2009 12:29 PM
asthma and pneumonia :( vanessa j Asthma 1 04-26-2008 09:47 AM
How often is to often for a healthy child to have pneumonia? mommy2-2boys Children's Health 1 11-23-2007 05:30 PM
How do you know if its bronchitis or Pneumonia? Alexusf Colds & Flu 1 04-06-2006 03:31 PM
the told me i had pneumonia, but.... guitargirl6 General Health 2 11-30-2005 11:21 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



ladybud (10), janewhite1 (8), quincy (7), pegkro (6), sk84life (5), murray76 (5), friday49 (5), hypatia (4), Apollo123 (4), writeleft (4)

Site Wide Totals

teteri66 (1164), MSJayhawk (997), Apollo123 (896), Titchou (832), janewhite1 (823), Gabriel (757), ladybud (745), sammy64 (666), midwest1 (665), BlueSkies14 (610)



All times are GMT -7. The time now is 01:18 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!