steriod induced leucocytosis..?

50 yrs old female brought to hospital prior no co morbidies known case of covid-19, corads -5and severity score 19/25. History of dyspnea and cough (non productive) since one week..low grade fever , generalised weakness.. On examination BP normal PR-125/min,spo2- 75% room air, Temperature-99F Treatment started with meropenum ,doxy and remedesivir and methyl prednisolone 40mg.tid, clexan 0.6mg,lung exercises,prone position,other vitamin,anti oxidants.. Initially WBC count was 8500 and patient symptomatic.. Day by day pt responding better and saturation also improving with room air but today WBC count increase 24000/cumm.. next management Expert opinion..

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Worsening covid infection with hypoxia Leucocytosis 24000 suggest secondary infection Needs to review antibiotics Shift on inj piperacillin+inj tazobactum Inj Ceftriaxozone Continue niv sp02 support Check Sr ferritin and D-dimer Ecg 2decho Add inj lasix Check bsl to r/o diabetes

Thanx dr Kute Ankush
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COVID-19 POSITIVE WITH.. SPO2 75 % .. ROOM AIR .. LEUKOCYTOSIS.. MANAGEMENT.. AS PER PROTOCOLS FOR COVID-19.. BY..ICMR.. CONTINUE WITH SAME LINE OF T/T.. WITH.. LIFE SUPPORTIVE MEASURES..SOS..

Thank you doctor
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Continue treatment... (Increase WBC count inj MPS)

Thank you doctor
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