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Warning-sign checks

Pulmonary actinomycosis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for:

    • Severe or rapidly worsening difficulty breathing
    • A large amount of coughed-up blood or bleeding that continues
    • Blue or grey lips, fainting, or new confusion
    • Severe chest pain with breathlessness or collapse

    Do not drive yourself for emergency assessment if you are severely breathless, faint, or coughing up a large amount of blood.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    If you are receiving treatment, contact the treating service promptly if symptoms worsen, fever returns, you cannot take the antibiotic, or you develop troublesome side effects.

    New swelling or drainage from the chest wall also needs prompt assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine medical appointment if you have a cough lasting several weeks, repeated fever, unexplained weight loss, ongoing chest discomfort, or blood-streaked mucus.

    These symptoms have many possible causes, but they should not be ignored.

Every sign above is quoted from the sofidex article on Pulmonary actinomycosis. If you are not sure, err upward — it is always reasonable to be checked.