Covid19 pneumonia 40 years old male patient (bank employee) with a history of coughing for 2 weeks, becomes febrile 2 days before presentation, the fever is responsive to acetaminophen, then chills and myalgia becomes apparent and he develops dyspnea on exertion. when he presented with ill-looking, fever and chills were significant, his vitals were PR 100, RR 20, peripheral O2 sat 85%, BP 140/90, sublingual Temp 39.5. He had DOE and on chest exam, he had coarse crackles all over both lungs. we immediately admitted this patient giving him nasal oxygenation by cannula, IV fluids, paracetamol IV administration , ABG was done pCO2 42, HCO3 22, pH 7.38, paO2 83. we requested a chest CT scan and yup , multiple patchy ground glass opacities infiltrating the peripherals, thus the patient was isolated immediately, multiple nasal swab specimens were sent for rtPCR. CBC was done . mild leukocytosis with no lymphopenia, no thrombocytopenia ... procalcitonin undetectable.. crp 2+ ... renal, hepatic and cardiac markers were all within normal ranges . the patient was then marked as covid19 pneumonia after the second rtPCR test.( first one negative) hydroxychloroquine 400 mg bid then 200 mg bid and azithromycin 500 mg stat and 250 mg daily were continued for 10 days ... no ECG abnormality was noted. the patient remained in a plateau phase, fever disappeared after 5 days, nasal oxygenation discontinued, only some mild dyspnea and mild cough were noted before discharge ( after 10 days) ... He was lucky, as i have seen people with this presentation undergoing intubation and have a poor outcome.

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Good presence of mind and positive immediate response and treatment save a very previous life , few cases reported from bank staff because they are reluctant to follow guildlines and hand shaking with all staff and due to public dealing they are more prone . Keep him in quarantine and after following of all protocols ,he can be relieved to join his duties. Nicely managed and thanks for sharing.

Thanks Dr A Dutta
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Multiple rounded clusters of organising Consolidation are seen mainly in dependent areas. Findings sugg of cryptogenic organising pneumonia. In present epidemic, consider it as a covid 19 pneumonia.

GGOs peripheral pneumonitis yes covid19 Delayed manifestations

Thanx dr Sabista Naaz
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Covid19 pneumonia bilateral responded with treatment 2 week qurantine

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!

We all curofians , applaud your efforts in saving one previous life Your presence of mind and correct treatment helped in positive outcome

NICE ILLUSTRATION WW KNOW NOW THAT COVID 19 CAN INVOLVE ANY PART OF BODY EYES E N T DENTAL G I T C NS C VS RECTAL REGION HOWEVER INVOLVEMENT OF LUNGS IS THE GREATEST CO MORBIDITY DUE TO SEVERE LUNG INFELTRATION AND FIBROSIS IF LUNGS

Lucky patient survived COVID despite severe lung fibrosis.

B/L CONSOLIDATION AND PNEUMONITIS WITH COVID-19 POSETIVE....CASE... REALLY GREAT EFFORT EXCELLENT JOB DONE CONGRATULATIONS AND THANKS FOR UPDATING

Thanks Dr. Sandeep Ghodekar
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Are u people giving hydroxychloroquine and azithromycin together . Isnt there risk of prolonged qt interval .

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