Shanthikumar S, Clifford A, Massie J, et al. Thorax Published Online First: 8 August 2016 doi:10.1136/thoraxjnl-2016-208787
This case highlights a stepwise approach to managing patients who do not respond to standard therapy. Current international guidelines recommend empiric antibiotic treatment for the first 48hrs; however, there are no published guidelines on managing cases that do not respond.
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