Concluded Case

Leukocytopenia post-covid, recovery

Hello everyone. Post covid Day 2 Total WBC count was 4000, had mild grade fever, dry cough, o/e enlarged tender lymph node on right pre-auricular region. Symptoms continued even after starting on Cefuroxime tablets. Today Total count dropped to 3800. What can be done to improve the count.

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Concluded answer

Low WBC count is marker and characteristic of Covid 19 infection It returns to normal after appropriate treatment of Covid 19 and recovery from Covid 19 Adv Capsule Doxy 100 mg one capsule twice a day for 7 days Tablet Azee 500 mg One tablet daily for 7 days Tablet Ecosprin 75 mg one tablet daily for 30 days Tablet Ivermectin 12 mg One tablet twice a day for 5 days Tablet Montair LC once a day for 7 days (Levocetrizine Montelukast combination) Tablet Rosuvastatin 5 mg once daily Tablet Celin/ Tablet Limcee 500 mg once daily for 30 days Paracetamol for fever as and when needed Glargine insulin injection 4 units per day Glargine insulin Brand name - Lantus insulin also called as Solostar injection (Brand Name Solostar) 32 number needle to be attached to syringe 4 units to be taken every day once a day for 10 days It is to be taken at same time every day, it can be taken at any time, time need to be same every day Kindly go through my article on role of insulin in treatment of Covid 19 https://jmscr.igmpublication.org/home/index.php/archive/178-volume-08-issue-07-july-2020/9517-use-of-insulin-in-treatment-of-covid-19-a-proposal-to-explore-feasibility Inj. Remdesivir to be added if there is moderate to severe infection

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Low WBC count is marker and characteristic of Covid 19 infection It returns to normal after appropriate treatment of Covid 19 and recovery from Covid 19 Adv Capsule Doxy 100 mg one capsule twice a day for 7 days Tablet Azee 500 mg One tablet daily for 7 days Tablet Ecosprin 75 mg one tablet daily for 30 days Tablet Ivermectin 12 mg One tablet twice a day for 5 days Tablet Montair LC once a day for 7 days (Levocetrizine Montelukast combination) Tablet Rosuvastatin 5 mg once daily Tablet Celin/ Tablet Limcee 500 mg once daily for 30 days Paracetamol for fever as and when needed Glargine insulin injection 4 units per day Glargine insulin Brand name - Lantus insulin also called as Solostar injection (Brand Name Solostar) 32 number needle to be attached to syringe 4 units to be taken every day once a day for 10 days It is to be taken at same time every day, it can be taken at any time, time need to be same every day Kindly go through my article on role of insulin in treatment of Covid 19 https://jmscr.igmpublication.org/home/index.php/archive/178-volume-08-issue-07-july-2020/9517-use-of-insulin-in-treatment-of-covid-19-a-proposal-to-explore-feasibility Inj. Remdesivir to be added if there is moderate to severe infection

Thank you doctor
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CRP, D-DIMER HRCT, if CORADS score more than 10,hospitalization If mild, treat with Doxy, Ivermectine/Zinc/Vitamin C/Vitamin D3/PCM Further Leucopenia, start with Methylprednisolone 1mg/kg in 2 divided doses

Valuable opinion
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Initiate for Inflammatory markers inluding Intralukin-6..And other adviced by Dr.Sanjayji.

Counts can be improved by Packed white cell transfusion Whole blood transfusion

Thank you doctor
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