PMC10174454_01
Chronology of the patient's medical history from the moment of admission to discharge from the hospital.
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fig1
Dynamics of chest X-ray after adding a continuous infusion of meropenem: CXR on the 1st day (A), CXR on the 2nd day (B), CXR on the 3rd day (C), CXR on the 5th day (D), and CXR after 6 days of continuous infusion of meropenem (11th day of hospitalization) (E).
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On admission, a chest X-ray showed cardiomegaly and no visible changes in the lungs (Figure 2A). After 11 h of admission, respiratory was progressed in the patient, and the control X-ray of the chest showed left-sided pneumonia (Figure 2B). In dynamics, on the 3rd day of hospital stay, according to the results of the chest X-ray, pneumonia progressed that required intensification of antibiotic therapy (Figure 2C). On the 5th day of hospital stay, a chest X-ray had shown positive changes in the condition mentioned above (Figure 2D). On the 11th day of hospital stay, after receiving continuous infusion of meropenem for 6 days as part of complex treatment, the chest radiograph had shown resolution of left-sided pneumonia (Figure 2E).
The dynamics of the patient's respiratory function indicators.
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fig3
After starting a 24-h infusion of meropenem, the patient showed a gradual improvement in respiratory function, as seen in Figure 3.
The dynamics of tests from the moment of the patient's admission to the discharge.
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However, indicators of CRP and leukocytes were relatively stable and did not decrease in dynamics, despite significant improvement in respiratory function; the clinical picture of the patient is shown in Figure 4.