AKT-5520
An 80-year-old male presented with cough, dyspnoea and fever.
He has a mild early Alzheimer’s dementia and type 2 diabetes mellitus for which he takes metformin 500 mg tds. On examination, he has sats of 96% on air, has a pulse of 90 bpm, blood pressure of 110/50 mmHg, a temperature of 37.6°C and a respiration rate of 32/min. There is no neck stiffness nor abnormal neurology.
Chest examination reveals bibasal crackles and decreased breath sounds in the left lung base.
Blood samples were taken that morning and a call to the lab reveals the following:
Haemoglobin 129 g/L (115-165)
White cell count 16.6 ×109/L (4-11)
93% neutrophils –
5% band forms –
2% lymphocytes –
Platelets 420 ×109/L (150-400)
Urea 8.2 mmol/L (2.5-7.5)
Which of the following is the most appropriate treatment for this patient?