Concluded Case

COVID 19 PNEUMONIA

27yrs/M having Fever on n off × 8days now High grade fever no distress.Dry cough × 4 days,Bodyache.Report awaited.CT SCORE?, Treatment?

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Atypical viral pneumonia - most likely covid - 19 pulmonary involvement- mild disease with Chest CT severity score of 8 / 25 . As now 8 days - but fever not responding- steroids in low dose can be started In my opinion treatment could be Tab cefuroxime 500 mg B.D for 7 days Tab Medrol 8 mg B.D for 5 days and then taper to 8 mg O.D for 5 days . Tab Paracetamol 650 × 8 hourly Tab Vitamin C 500 mg B.D Tab Zinc 40 mg O.D Liq Alex 2 tsf × 8 hourly

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Atypical viral pneumonia - most likely covid - 19 pulmonary involvement- mild disease with Chest CT severity score of 8 / 25 . As now 8 days - but fever not responding- steroids in low dose can be started In my opinion treatment could be Tab cefuroxime 500 mg B.D for 7 days Tab Medrol 8 mg B.D for 5 days and then taper to 8 mg O.D for 5 days . Tab Paracetamol 650 × 8 hourly Tab Vitamin C 500 mg B.D Tab Zinc 40 mg O.D Liq Alex 2 tsf × 8 hourly

Day of symptoms
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Typical peripheral chestwall translucency with a patch of haziness seen rt lower zone GGOs bilaterally noted Fibrotic strands seen Yes he is a c/o covid19 pneumonitis with fibrosis Need to put on inj Remdesivir 200mg stat followed by 100mg daily for next 5to7days Inj dexamethasone 8hrly Inj Ceftriaxozone 1.1 gm bd Inj piperacillin+inj tazobactum 4.5 gm tds Inj lasix Inj enoxiparum Consider insulin if hyperglycemia is noted Monitor sp02 and add02 support niv take care of nasal canulas or change of tubing and humidifier water to prevent MUCORMYCOSIS Add antifibrotic agents Tab pulmoclear 1bd Tab pirfenidone 200mg 2tds Tab nintena 150mg 1bd Cough suppressants Sos budenoside inhalers

Sir,Why to add inj Remdesivir
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Fever ,cough suggestive of COVID 19 inf,,where is other tests like rtPCR,CT suggest bl pneumonitis albeat mild. Best choice at present to give corticosteroids,Dexamethasone 6/8mg daily or medrol 1mg per kg of body wt in two divided doses (medrol minimum dose is 32 mg to be effective)and other conventional treatment as per protocol.

It's covid19 pneumonia. But nothing to worry much as no distress. Saturation and body temperature?? Do blood investigation CBC, CRP, D-dimer till then take supportive management only. As no hypoxia, no need of steroid, anticoagulant as of now.

Look 4 score Ground glass pneumonitis Rt pcr In favor of sarscov2

COVID 19 infection Treatment according to ICMR protocol

It's covid19 pneumonia. But nothing to worry much as no distress

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