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Well pneumonia can be a stubborn and dangerous type infection. It does need to be treated aggressively and follow up is necessary to demonstrate healing and good recovery....
Having a relapse is not what I would characterize as "normal" but it does occur. It is not that rare. We routinely want to follow up and get xrays of any patient diagnosed with pneumonia to ensure good and complete response to treatment ...
Do you smoke ? That increases risk of pneumonia ...Do you have any pulmonary conditions such as asthma ? That may be complicated by pneumonia.
Levofloxacin is a good BROAD spectrum antibiotic. The respiratory infection should respond ...
I would advise follow up exam and repeat chest xray as you finish this round of treatment ...hopefully you will see steady improvement with this.
I hope that this information is helpful for you.Let me know if you have further questions or concerns.I will be happy to get back with you.If my answers have been helpful and to your satisfaction then please remember to leave positive feedback.Thank you and Best Regards,
Anthony Bray MD
Yes it is possible to have lingering inflammation...a lingering cough for several weeks would be common. You should not see an increase in symptoms with recovery and response to antibiotic treatment. Symptoms such as pleuritic pain ( chest pain with taking deep breath or cough ) / fever / shortness of breath / chills/ severe cough such that it keeps you up at night >> these symptoms should be trending better as you respond to treatment
Clarithromycin and levofloxacin are both good and usually effective but yes I would rate the Levofloxacin as generally stronger ....
I will at times prescribe once a day Singulair 10mg a day for 4 weeks in this cicumstance. That medicine is indicated for asthma but it is a leukotriene receptor blocker which helps to reduce airway inflammation.Many practitioners may prescribe a course of tapered prednisone ( a steroid ) for this purpose to reduce inflammation (the helpfulness of one of these options depends on the circumstances and would be more likely to be used if you had wheezing )
I hope that this information is helpful for you
Let me know if I may be of further help.
Yes it should gradually clear with yoh taking the antibiotic. You should keep follow up after you finish the antibiotic. Some cough may typically linger for days or weeks after you finish antibiotic due to irritation of airways . You should not see it flare back again but yes ..it happens sometimes but not most --- more likely the second course that you are in will take care of it. Symptoms should all gradually settle back down until you are well again.
I hope that this is helpful for you.Let me know if I may be of further help.Take care!