Fig 1. Timeline of symptoms onset & interventions.
Follow-up and Outcomes
After two weeks of treatment with doxycycline plus rifampin, clinically,
the patient recovered with no difficulty in breathing and no chest pain.
The results of the follow-up serology for B. henselae IgG were 1:512.
The patient was discharged from the hospital approximately four weeks
after admission, with a recommendation to visit a cardiologist, stop his
IV drug abuse, and continue doxycycline and enoxaparin. A controlled
chest X-ray showed improvement, and the chest tube was discontinued. The
patient left the hospital in good general condition, without fever, with
a normal heart rate and acceptable SpO2 (>94%).