Conversation: The conversation between human and AI assistant.
[|Human|] My wife s bloody sputum culture was cultured with Streptococci growth after 24 hours of incubation on April 3, 2014 susceptible to Erithromycin, Ciprofloxacin, Gentamicin and Augmentin. She was placed on Augmentin 625mg for 7 days thereafter. She got better for like 2 months but she is coming down with the symptoms once again... smelling blood, fatigued, chest pain, abdominal pain, distress and confusion... Now the Doctor says her pulse is high so placed her on Atenolol and Nitrazepam... Not significant improvement... Can you help if we can again place her on Augmetin 1g for 14days? can she combine this antibiotics with any antifungal or anti-parasitic and can she still continue with the atenolol and nitrazepam along? Please
[|AI|]  Thanks for your question on ChatDoctor.in my opinion you should not start augmenting without reports. I advise you to first consult pulmonologist and get done chest x-ray. As chances of lung infection are high in your case because your symptoms like bloody cough, fever, high pulse rate are all suggestive of infection. So better to get done chest x-ray and sputum culture and sensitivity for guiding antibiotic therapy. You may require bronchoscopy and BAD (BronchoAlveolar Lavage) for identification of organism.