COVID pneumonitis with underlying COPD

81 years old male, known COPD, presents with high grade fever, cough n SOB for last 6 days. His CRP is normal. D dimer, FERRITIN awaited. Anaemia present otherwise normal hemogram. Chest auscultation revealed bilateral expiratory rhonchi n RT LZ CREPITATIONS. Spo2 95% on air. Normal Temperature, BP n Pulse. His SARS COV 2 RT PCR came positive. Kindly discuss further management plan for this patient.

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Changes of COPD emphysema with reticulonoduler opacities seen. Et basal inhomogenous heziness seen. Findings sugg of COPD emphysema with rt basal Infective focus. As covid 19 RT PCR positive, Consider broad spectrum antibiotics like azithromycin, with bronchodilators mucolytics oxygen support sos NIV. LABA LAMA combination. Symptomatic treatment otherwise. Consider HCQS as per ECG / QTc. Treating staff's care is most important.

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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COPD, emphysema, Right basal pneumonitis Covid pneumonia, since COVID test is positive Since patient is stable without respiratory distress, suggest ICU Nasal O2 IV fluid cautiously Azithromycin 500 mg HCQS ,400 ,BD Vit C Zinc Watch for respiratory failure, and be ready to ventilate.

It is covid pulmonary lesion.needs close observation in icu.needs non invasive high pressure oxygenation very soon. Strong possibility of him landing in coagulopathy. May need anticoagulants. Anti covid drugs to be started soon

Age and COPD with COVID positive,better to hospitalised in COVID center. May land emergency with spreading of COVID to other staf

* COPD .. * EMPHYSEMA.. * COVID-19.. NEED'S.. MANAGEMENT AS PER ICMR. PROTOCOLS..

Tnx Dr Gyanendranath Tripathy
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Copd withlt cardiac pneumomitis with sarscovid 19 positive azithro500 bd5 days hcq800 stat400 odd for 4days oxygen bd90 minutes ranibivir bd10 days

Covid with COPD very much emergency situation.admit in hdcu or ICU with invasive positive pressure assisted ventilation as per icmr guidelines.imp diagnosis early happy hypoxia

COPD case with COVID 19 is deadly combo. So patient should be followed meticulously and observe for spo2, PR and BP. Treatment should be Antibiotics like Azithro or Piperacilin- tazo combination with antiviral drug tamiflu 75 mg BD is must here. From my perspective HCQ cause more harm in this type of patient than benifit. I also in favor of daily or alternate day xray monitoring for confirmation of any drastic changes of pneumonia.

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SUGGESTIVE OF COPD .EMPHYSEMA POSSIBLY COVID

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