The COVID epidemic, a couple flu today (16 December ’22 July), MD Manoon Leechawengwong, specialist in respiratory diseases. Revealed via personal Facebook Noted that during this period, in addition to 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.
Doctor Manoon has taken up the case. The patient is a 52-year-old Thai man, usually in good health. no congenital disease Have not been examined for almost ten years. Never been vaccinated against COVID-19 And the flu vaccine during the 4 months before illness, weight loss of 4 kg. On December 5, 2022, he started having fever, cough, sore throat. On December 7, 2022, he was admitted to a hospital near the house. Prodded nose sends ATK test for COVID-19 And tests for types of influenza B gave positive results. The doctor also tested the blood for 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
The patient was admitted to the hospital for 3 days, coughing and getting more tired, he still had a high fever, low oxygen, and the lung X-rays started showing white patches. Let’s move to continue the treatment. The doctor admitted the patient to the intensive care unit. With pneumonia caused by the coronavirus and the flu virus and the condition of DKA (Diabetic Ketoacidosis), blood sugar is very high. 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. Giving injections of remdesivir intravenously for 5 days to give immediate immunity, Evwsheld 2 injections in each thigh to treat COVID And continuing 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.
