2023-10-03 03:59:01
Dr. Manoon reveals the case of an 86-year-old patient suffering from influenza A, emphasizing that during this period many Thai people are infected. It is recommended to get vaccinated quickly to reduce severe illness and death.
On October 3, 2023, it was reported that Dr. Manoon Leechawengwong, a physician specializing in respiratory system diseases Vichaiyut Hospital Post a message via Facebook Mormanoon Leechawengwong FC It was determined that the patient, an 86-year-old male, had congenital atrial fibrillation (AF) and was wearing a permanent pacemaker. high blood pressure Got the influenza vaccine on August 16, 2023.
On September 6, 2023, had a fever, cough, sore throat, runny nose, nose test found influenza virus type A, received Oseltamivir (Oseltamivir) 75 milligrams, took at home, morning and evening, for 2 and a half days, symptoms did not improve, still had a fever. Coughed, became tired, mightn’t walk, and two feet were swollen, so he came to the hospital on September 9.
Physical examination: temperature 38.3 degrees Celsius, low oxygen level at the fingertips 91%. Listen to the lungs, there is a rustling sound at the edges of both lungs, swollen feet on both sides. with high frequency sound waves It was found that the efficiency of contraction of the left ventricle was normal at 70%. Blood tests showed high levels of hs-Troponin T 458 (normal value 0-14) and NT-proBNP 13,654 (normal value 0-125), indicating heart failure.
Diagnosed with influenza A, causing inflammation of the lungs and heart muscle. Resulting in heart failure in which the left ventricle works normally (Heart failure with preserved EF, HFpEF).
Nasal oxygen treatment Continue giving antiviral medicine to treat influenza until 5 days have passed. Give diuretics. Bronchodilators and antibiotics Follow up with a lung x-ray and lung computer on September 14th. It was seen that there was more white matter spreading in the lungs and there was fluid in the pleura on both sides (see picture). Stayed in the hospital for treatment for 16 days, fever subsided, symptoms gradually improved before not being able to return home. Cough, not tired, swelling has gone down, can walk, no need to use oxygen Chest x-rays slowly improved. Came back for another checkup on October 2. Weight lost 5 kilograms, no swelling, no fever, no coughing, no fatigue, oxygen level at fingertips 95%, lung x-rays improved a lot (see picture).
During this period, many Thai people are sick with influenza. To the point of ordering influenza medicine to be reserved in advance at the hospital to prevent patients from running out of medicine. People who have not received a flu shot this year Please hurry and get 1 injection to reduce severe illness and death from influenza.
Information from Mormanoon Leechawengwong FC’s Facebook page
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