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Ask A. Schuyler, NP Your Own Question
A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 15936
Experience:  Board Certified NP, MS, RN. 25 years private practice & hospitalist
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what is the incubation period for staph ...

Resolved Question:

what is the incubation period for staph pneumonia, to reach death? would an 18 hour window make a difference if antibiotics were started early?
Submitted: 9 years ago.
Category: Health
Expert:  A. Schuyler, NP replied 9 years ago.


Could you explain a little more about the situation you are asking about? The incubation period is the time from acquiring the infection until symptoms appear, and it doesn't sound like that is what you are asking for.


Customer: replied 9 years ago.
"walking pneumonia"bronchitis in jan...then symptoms occur in april.. diagnosed with "muscle spasms". 18 hours later full blown staph pneumonia and death after 30 hours or so.. if treated earlier when diagnosed with "muscle spasms" could early intervention prevented in that 18 hour window a hope for survival?
Expert:  A. Schuyler, NP replied 9 years ago.

What was the age and condition of the patient? Any other medical conditions?


Customer: replied 9 years ago.
36 yr old male...NO HISTORY AT ALL!!! we had just finished moving and complained of muscle spasms in neck and shoulders.. then a day later moves to chest belly and top of thighs.. went to doctor and got a diagnosis of "muscle spasms",, was having respitory distress and pallor in color. resp 36.. then 18 hours later he is in icu battling for his life.. we are all baffled. if diagnosed at the doctor could his life been spared or can this been brewing from the "walking pneumonia" in january? and then came out when a little stress was put on the body from moving.. he was walking and talking and then boom after the move into our new home..
Expert:  A. Schuyler, NP replied 9 years ago.

I am so sorry for your loss, and the horrifying way it happened. Certainly the walking pneumonia could have weakened his immunity and all the work and stress of moving didn't help. The doctor had no way of diagnosing a staph infection in the office. It takes a culture of sputum and some hours to grow it out once it reaches the lab. If pneumonia had been diagnosed based on a chest xray instead of muscle spasm and he had been hospitalized immediately, we can only guess. There is a particularly nasty staph aureus in some areas right now that produces a toxin called Panton-Valentine leukocidin that can be deadly in a day or two in people who are immunocompromised. It seems to favor relatively young people over the very elderly, and is about 75% fatal. Here is some information on it. Again, please accept my condolences.




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Customer: replied 9 years ago.
Reply to Schuyler_ANP's Post: so someone with resp. distress and pallor in color bp 120/58,resp 36,temp 98.0, hr 136. warrants a diagnosis of muscle spams vs. standard of care of something worse? as a nurse i know something was up, but if he was sent to the emergency room in that 18 hour window could he be alive but sick today vs. dead.