Female 36 years. Fever since 8 days Chief Complaints Fever, high grade , Dyspnea, cough and chest pain since 5 days. Weakness and nausea+. History Pneumonia 1 year back. Had COVID -19 Rapid test and RT PCR -negative ... Vitals T-102, P-116, BP: 110/78, SPO2: 95% Physical Examination Rs: few creeps+, Toxic look. Investigations Tc: 8700. CRP : 28. HRCT images as under. RT PCR for corona- twice negative in 8 days. Pneumonia-Panel - negative. Management Started with Broadspectrum antibiotics.. steroids.. what can be further plan?

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Fiver two day normal hotta h caf pitt bhi ok hotti h

No doubt CT is suggestive of covid infection with current prevalence of cases. Tret as per covid pneumonitis. It is possibly progressive phase mire than 8 days so covid test is negative.

Right upper lobe pneumonia.Sputum and blood culture essential, preferably before starting IV Antibiotics to be changed if cultures so indicate

Coronal view suggest GGOs rt upper zone D/d covid19 infection though RT pcr is negative but negativity does not r/o covid infection . Hence i would treat as covid under ICMR protocols 2 tuberculosis

Thanx dr Jitendra Bansal
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Rt upper lobar consolidation. Plz go for FOB Therapeutic BAL examination including Gm Zn CBNAAT culture sensitivity test and RT PCR for SARS cov 2. Possibly Koch's or intrabroncheal obstruction.

BUDAMATE NEBULIZATION.. DEFLAZACORT.. 12 MG BD.. MULTIVITAMINS ANTIOXIDANTS..

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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जय मंगल रस स्वर्ण युक्त 1 रत्ती ताली शादी चूर्ण 2 ग्राम। गोदन्ती भस्म 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। योग परिक्षित है। पिछले 45 वर्ष से प्रयोग कर रहा हूं।

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Ad Seroflo & Duoline rotacap inhalation through rotahaler sos

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