How to treat post COVID. Pneumonitis ,after 45 days , patient has cough and fever with raised TLC ,

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Post covid pneumonitis after 45 days but still in sero antibody maintenance period ie 3months So my advice First retest for reinfection of covid Secondaly pt receives heavy doses of steroids hence lands ininstant hyperglycemia which takes lot of time to refuce or rather lands fresh c/o diabetes and exposed to all secondary infections like viral pneumonitis Tuberculosis LRTI like CAP Fungal pneumonitis As pt is hypoxic goes as ILD Thus recovery doesnot guarantee prevention from secondary infection Hence treatment depends on cause and organisms involved Definitely vary difficult to treat Broadspectrum antibiotics like inj piperacillin+inj tazobactum 8hrly Or meropanum 8hrly Inj cefocol bd or tds Lenazolinid 600mg 1bd Itracanazole200mg 1od Diuretics Bronchodilators Antifibrotic like pirfenidone 200mg 2tds N- acetylcysteine 600mg tds O2 suppliment

Thanx dr Kute Ankush
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Need to do HRCT and inflammatory markers and DDIMER.,and RTPCR for COVID with Cycle Threshold measurements. Need to get previous history of comorbidities, asthma, COPD, IPF . ? Persistent positive COVID PNEUMONIA ? Post COVID fibrosis /ILD

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NEED'S.. ANTIBIOTICS COVERAGE AS PER REQUIREMENT & DOSE.. COUGH EXPECTORANT.. IMMUNITY BOOSTER MANAGEMENT.. FOLLOW UP WITH EXPERTS OPINION AND.. INVESTIGATIONS.. WITH.. CLINICAL CORELATION..

Tnx Dr Vipin Bihari Jain sir
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Evaluate for secondary infection as during covid 19 infections, steroids, stress, some times raised BSL s are the important factors leading to bacterial infections. So treat it in priority.

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Obviously Antiviral , Antibiotics, Antiallergic cough syrup and steroids to be given

Thanks Dr. Sandeep Ghodeker Dr. Kute Ankush ,Dr. Dinesh Gupta
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NEEDS SYMPTOMATIC .MANAGEMENT AND PERIODIC. FOLLOW. UP

Secondary bacterial infection Adv Oral / IV antibiotics

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