Detailed Treatment Process
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Male, 25 years old. He presented with symptoms resembling an upper respiratory tract infection and had a persistent fever for two weeks. He had visited two hospitals and attended outpatient clinics three times. One outpatient record noted: Chief complaint: sore throat for 6 days, accompanied by fever, cough, and sputum production for 2 days. Physical examination: congested pharynx, bilateral tonsils enlarged (++), no obvious exudate, heart rate 76 beats per minute, clear breath sounds in both lungs. The following are the results from one blood routine test: Outpatient department: Internal Medicine Diagnosis: acute bronchitis Test date: January 15 Report date: January 15 WBC white blood cells 13.1 (4.0-10.0×10⁹/L) RBC red blood cells 4.7 (3.5-5.5×10¹²/L) HGB hemoglobin 149 (110-160 g/L) HCT hematocrit 49.8 (37.0-49.0%) MCV mean corpuscular volume 105.3 (86.0-100.0 fl) MCH mean corpuscular hemoglobin 31.5 (26.0-34.0 pg) MCHC mean corpuscular hemoglobin concentration 299 (310-370 g/L) PLT platelets 147 (100-300×10⁹/L) NEUT% neutrophils 45 (50-70%) EO% eosinophils 0.0 (0.5-5.0%) BASO% basophils 0.1 (0.0-1.0%) MONO% monocytes 4.7 (3.0-8.0%) LYM% lymphocytes 10 (20-40%) NEUT# neutrophils 11.1 (2.0-8.0×10⁹/L) EO# eosinophils 0.00 (0.05-0.50×10⁹/L) BASO# basophils 0.01 (0.00-0.10×10⁹/L) MONO# monocytes 0.62 (0.12-0.80×10⁹/L) LYM# lymphocytes 1.4 (0.8-4.0×10⁹/L) RDW red cell distribution width 47.8 (37.0-50.0%) PDW platelet distribution width 17.1 (9.0-17.0 fl) P-LCR large platelets 45.0 (13.0-43.0%) MPV mean platelet volume 12.5 (6.0-12.0 fl) The doctor prescribed azithromycin with instructions to take 2 capsules (150 mg each) once daily. The author suggested (for this case) taking 4 capsules as a single dose once daily. After just one day, no further doses were needed. Note that the medication should be taken at least 2 hours before or after meals. The patient’s temperature returned to normal the following day.