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New Delhi, March 20, 2025 — A 35-year-old woman’s attempt to self-medicate a lingering cough after a bout of the flu resulted in an acute complication, highlighting the dangers of inappropriate antibiotic use, according to a recent case study.
The woman, who had recovered from a flu-like illness a month prior, sought relief from a persistent cough by consulting a local pharmacist. Following the pharmacist’s recommendation, she took a course of antibiotics. Despite initially feeling better, her cough persisted, prompting her to seek further medical attention.
“She was certain she had a chest issue as a spillover effect from the flu,” explained Dr. Tickoo, Director of Internal Medicine at Max Healthcare, who treated the patient. “She had even visited a pulmonologist who, after a clear chest X-ray, prescribed an expectorant.”
However, a subsequent CT scan revealed the woman was suffering from bronchitis, an inflammation of the airways. Dr. Tickoo attributed the bronchitis to a post-nasal drip caused by lingering sinus inflammation, a complication of the viral flu.
“This is a complication arising out of a viral flu which only an antiviral, not an antibiotic, can address,” Dr. Tickoo stated. “So although her fever had subsided, her sinuses remained inflamed, causing her much discomfort.”
The patient’s condition improved significantly after being treated with a saline nasal rinse and a nasal corticosteroid spray, along with hydration. Dr. Tickoo emphasized that the complication could have been avoided if the patient had consulted a doctor initially and not self-medicated.
The case underscores the risks associated with antibiotic misuse, particularly in viral infections. Dr. Tickoo warned of the dangers of antibiotic resistance and cited a study from the Francis Crick Institute in London, which found that antibiotics can “prime” the lungs for viral infections by suppressing gut bacteria that play a crucial role in fighting off the flu virus.
“Antibiotics can wipe out early flu resistance,” Dr. Tickoo cautioned. “In other words, antibiotics are the worst enemy of your flu. Trust your doctor.”
He also reminded the public that viral flu needs antiviral treatment, and only when prescribed by a doctor on a case-specific basis, depending on severity. Otherwise, self-care should be limited to medication for fever and pain relief.
The doctor also mentioned that getting a flu shot annually can significantly decrease the chances of getting the flu and its complications.
Disclaimer: This news article is based on information provided by Dr. Tickoo and is intended for informational purposes only. It is not a substitute for professional medical advice. Always consult with a qualified healthcare1provider for any questions you may have regarding a medical condition. Self-medication can be dangerous, and it is crucial to seek medical guidance for any health concerns.(https://indianexpress.com/article/health-wellness/viral-flu-recovery-stubborn-cough-how-antibiotic-use-pharmacist-acute-complication-9896368/)
