Acute Consuelo Case Studies

I have caught up with Consuelo around ten weeks since the last appointment. Unfortunately, during holidays in Italy in mid July Consuelo developed an upper respiratory tract infection followed by a chesty cough. She had high fevers and took a course of Augmentin Duo Forte. She also required extra Ventolin and pleasingly her asthma was not too bad. She returned a couple of weeks ago and again in the last week has developed another upper respiratory tract infection. I note she is completing another course of Augmentin Duo Forte with an ear infection identified by yourself. Again her asthma has been not too bad, but she has been taking some extra Ventolin as a precautionary measure.

The most recent pathology performed mid-June revealed normal serum immunoglobulins, normal eosinophils and a negative ANCA assay.
Examination today revealed an oxygen saturation of 96% and chest was actually quite clear with some scant retrosternal wheeze.

Consuelo has been suffering with quite frequent upper respiratory tract infections and I have requested that she have a CT scan of her sinuses to see if there any structural problems that may be predisposing her to this. She will also use regular Dymista for the next few weeks and commence Singulair that she has not yet trialed. I will see her again in roughly a