Dr. revealed Manoon that the COVID epidemic is linked to influenza. infected at the same time with the risk of serious illness Willing to raise the case of male patients who have not been vaccinated against them Infected with both pneumonias at the same time entering the diabetes ICU very high blood pressure
Today (Dec. 16, 2022), Dr. Manoon Leechawengwong, specialist in respiratory diseases of Vichaiyut Hospital He published a message through the Facebook page, Doctor Manoon Lee Chawengwong FC, stating that during this period, as well as a new major epidemic of COVID- 19 There is also an epidemic of influenza. People who have never had the COVID vaccine and the flu vaccine. If he is infected with the two viruses COVID-19 and flu at the same time have a chance to be seriously ill May everyone who has not injected Hurry up to be vaccinated against COVID and flu.
Dr. Manoon the case of a 52-year-old male patient from Thailand who was normally healthy. no congenital disease Have not been examined for almost ten years. Never been vaccinated against COVID-19 and flu vaccination during the 4 months before illness, weight loss of 4 kg.
On December 5, 2022, he started having a fever, cough, sore throat, and on December 7, he was admitted to a hospital near the house. Prodded nose sends ATK test for COVID-19 And tests for influenza type B gave positive results, blood tests showed high sugar. who has diabetes X-ray of the lungs received normal, normal oxygen, drug Molnupiravir to treat COVID. oseltamivir to treat flu and diabetes medicine Stay in hospital for 3 days, cough, more tired, still have high fever, low oxygen, chest X-rays starting to get white patches. Let’s move to continue the treatment.
Admitting patients to the intensive care unit with pneumonia caused by the coronavirus and influenza and having DKA (Diabetic Ketoacidosis) with very high blood sugar. Very high accumulation of sugar, HbA1c 15 %, high blood ketones. The blood is acidic X-ray of the lungs with white patches on 2 sides to give oxygen through the nasal line. Give injections of remdesivir intravenously for 5 days to give immediate immunity, Evushald 2 injections in each thigh to treat COVID And continue to take oseltamivir to treat flu for 5 days Diabetes can be controlled by giving insulin, fever subsides, cough continues , fatigue improves, white patches in both lungs decrease.