My sisters got melioidosis,pleural effusion and lung abscess. Imipenem has treated for >2 weeks. Shes still got high fever many times per day.After thoracocentesis and decorticate operation,cvt said her abscesss affected large area and lung tissues become hard, fibrosis. Now shes on respirator,good concious,but cough a lot ( day 1 post operation). Im not sure will she improve and is it good idea to ask doctor for referral.  My sister admited at central reginal hospital in northest Thailand , I think of the hospital in Bangkok. Moreover, are there any furture treatment to help her improve.  I still hope for her getting better.  Thank you  (50 yrs Female,5ft Ht, hysterectomy > 10 yrs, teacher /farmer )
Hi and thank you for asking in Chat Doctor. I am sorry for your sisters situation As you explain she is not in good conditions. I think Eminem is a good choice for lung access, but it is not the only medication. In lung access should be use two or three antibiotics with a large spectrum. After the result of angiogram which shows the microorganisms that are involved and which antibiotic is needed the doctor should do the treatment. It will be a long treatment for 4-6 weeks with antibiotics, mucositis, simptomatics antipyretic liquids. So it will be in the hospital conditions. So I think that the doctors know the strategy of the treatment. I wish a fast recovery for your sister.