Initial improvement in wbc was seen, but then followed several weeks during which wbc remained elevated. Finally a 4 antibiotic combination resulted in a normal wbc. However, reticulocyte counts remained elevated for weeks despite normal rbc indices. Peanut's body was later discovered, extremely decomposed, having died during or prior to Hurricane Irene. Unable to determine cause of death due to advanced decomposition.
Pseudomonads seem to be common pathogens in our cases.
Two or more antibiotics need to be given together since these organisms can become resistant rapidly. Antibiotics should be chosen that have different modes of action. Floxin may not have been necessary. 3- Bacterial infections may cause suppression of bone marrow resulting in regenerative anemia. It seems that in this case it took several weeks for the reticulocytosis to begin to normalize even after the anemia had resolved.