Post-Covid Patient with high grade fever

A 56 year old female who has recently been discharged from hospital due to COVID after almost a stay of 25 days at hospital Chief Complaints She is having high grade fever from last 2 days, abdominal discomfort too History She is currently on the medicines, paper attached below She is maintaining Spo2 92% at 2 Litres on O2 concentrator Investigations LFT, KFT are normal Typhidot, MP by RDT are negative CBC seems fine Urine R/M has protein and RBCs too Management Kindly guide for the appropriate treatment in this patient

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POST COVID CASE WITH.. PYREXIA .. ANEMIA .. LEUKOCYTOSIS .. HEMATURIA .. ? UTI .. ? VIRAL FEVER.. ? SAR COV2 INFECTION .. NEED'S.. URINE C AND S EXAMINATION.. USG..ABDOMEN PELVIS .. MEANWHILE SYMPTOMATIC T/T WITH.. BS..ANTIBIOTICS WITH PCM ..

Tnx Dr Ashok Leel sir
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POST COVID INFECTION- PYREXIA/ANEMIA/HEMATURIA/LEUKOCYTOSIS DO IL-6, PCT, SERUM FERRETIN, LIPID PROFILE, RFT, HRCT CHEST, USG W/A, BLOOD CS, URINE CS, COVID-19 Antibodies, ABG, PFT, ?UTI/ VIRAL FEVER/ SARS COVID-2/ Secondary Bacterial Infection/ Start I/V fluid, Brooad Spectrum Anti Biotic, Antipyretic, NSAIDS, PPI, Anti Coagulant, Antifibrinolytics, Symptomatic & Supportive. kindly updated me after report.

Post COVID complications Pyrexia Anaemia Leukocytosis And Haematuria * Reinfection due poor immunity ** UTI Urine complete and sensitivity USG Abdo pelvis. Till reports complied. Symptomatic treatment.

Thanks Dr Pushkar Bhomia
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It's likely to be long Covid She is diabetic and remember Insulin has very important role in treatment of Covid 19 Adv Repeat a course of treatment for Covid 19 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 In addition to her existent diabetes medicine add Glargine insulin 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

Fever with thrombocytopenia Blood in urine Ad urine C /S Viral fever ? U T I After results of reports of C/S Start treatment Meanwhile Tab Ceftum 1000 mg bd Tab Calpol 650 tds

56/F..case of post covid 19. reports:Anaemic with microscopic haematuria -Provisional Diagnosis:fever of unknown origin. -cause: reactivation of SARS COV2 virus. -obstructive uropathy -cystitis -Nephritis -N/L ratio mismatch with leukocytosis shows infection. -source of infection need to find out. -fibrotic strands in lungs must be causing dyspnea. -go for usg abd..CXR..hba1c.. PNS xray -keep watch for crp it will increased sure. -mucormycosis complication to be looked for. Advise: -Antibiotics with antipyretics -hydration therapy -Haematinics. -bronchodilator with corticosteroids therapy -steam inhalation -keep ptn under watchful category.

Thanks for ur appreciation Dr Rajendra Rai..
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Post covid fever with abdominal discomfort and with 20-30 RBC/hpf on URM ( ? H/o hematuria), anemia ( check serial hb), neutophilia and elevated D dimer Probable D/D Renal cause - obstructive uropathy, nephritis, cystitis, ATN (get USG abdomen,KFT,Urine c/s) Post covid thromboembolism- mesentric ischemia, ATN ( USG abdomen, f/b CECT+ angio) DIC Reinfection Other sources- chest ( CXR, USG), Blood culture, procalcitonin

Post cobid complication Pt has fever,spo2 with 2lit O2,Do HRCT Lung,CRP,Hematuria do USG abdomanC/S of urine start inj ceftriazone 1gm iv Bd Tab calpol650 mg sos Adequate hydration,monitor vital Bp pulse spo2,urine output ,Blood sugar

Adv USG abd and pelvis. Urine culture Continue broad spectrum antibiotics as leucocytosis.

No of rbc,s in urine too much rpt for pis cells ? UTI 56yrs old ?? Menses

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