Sypmtoms of SARS COV2 persist even after Negative RT PCR.

27 year old male with a h/o Bronchial Asthma and Hypertension, BMI: 25.7, presented with dyspnea and chest tightness. H/o loose stools and fever three days back. At present no fever. No loose stools. Spo2 :80% at room air temperature Dexamethasone 6mg OD daily Nebulisation with Asthalin Tab.Deriphyllin OD given Spo2 improved , now 93-95% at room air. RT -PCR for SARS COV2: "NEGATIVE"

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Pt is kco of bronchial asthma and hypertension Dysponea and chest tightness with sp02 80% suggest pt is hypoxic needs ventilatory support better intubation Compensate electrolyte imbalance Broadspectrum antibiotics inj Ceftriaxozone Though rt pcr may be negative at present but appears to be covid case

Thank you sir...

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Dear doctor. As per GINA guidelines always initiate treatment with Inhaled corticosteroid + SABA/LABA in Asthma. This will prevent serious exacerbations in future.

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