No workup needed; treat with Levaquin for 1 week
Peak flow and methacholine challenge
ACE level and bronchoscopy
Reference: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, eds. Chapter 175: Sarcoidosis. The Color Atlas of Family Medicine, 2nd ed. New York, NY: McGraw-Hill; 2013.
Mechanical ventilation, CVP monitoring, vancomycin and imipenem pending cultures, renal-dose dopamine, and intensive insulin therapy targeted to normoglycemia
Mechanical ventilation, vancomycin and imipenem pending cultures, empiric treatment for systemic candidiasis, and dopamine and insulin infusion
Empiric antibiotics with coverage for systemic candidiasis and platelet and packed red blood cell transfusion
Renal-dose dopamine, transfuse PRBCs, platelets, empiric antibiotics with coverage for candidiasis, and intensive insulin therapy
Cultures, empiric antibiotics including coverage for disseminated candidiasis, supplemental oxygen, maintain blood pressure, and consider dobutamine
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