2023-10-02 09:05:07
“Dr. Manoon” raises the case to warn of an epidemic of influenza. Elderly people with pneumonia Heart failure occurs
October 2, 2023 at 3:39 p.m.
Influenza is not a small matter. Dr. Manoon gives a case of an elderly patient suffering from influenza A. Lung-myocarditis Indicating heart failure, staying in the hospital for 16 days. Recently, many Thai people are sick. To the point of ordering influenza medicine to be reserved in advance at the hospital to prevent patients from running out of medicine. Influenza outbreak today (2 Oct. 2023) Dr. Manoon Leechawengwong, a physician specializing in respiratory diseases. The patient is in serious condition. The patient is a male, aged 86 years, with congenital atrial fibrillation (AF), wearing a permanent pacemaker. high blood pressure Got the influenza vaccine on August 16, 2023. Later, on September 6, 2023, the patient had a fever, cough, sore throat, and runny nose. A nasal swab test found influenza virus type A and received Oseltamivir (Oseltamivir). (Yar) 75 milligrams, take at home, morning and evening. The patient took the medicine for 2 and a half days. Her symptoms did not improve. She still had a fever, cough, became tired, mightn’t walk, and 2 swollen feet. So she came back to see the doctor at the hospital on the 9th of July. 2023 Physical examination: Temperature 38.3 degrees Celsius, oxygen level at fingertips low 91%, lungs sound rustling. Both lungs on both sides, swollen feet on both sides, lung x-ray, enlarged heart, white patches, slight fluid in the pleura on both sides, heart examination 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. doctor diagnosis It is influenza A, causing inflammation of the lungs and heart muscle. Resulting in heart failure, a type of heart failure in which the left ventricle of the heart works normally. Provide treatment with nasal oxygen. Give antiviral medicine to treat influenza. Continue taking it until 5 days have passed. Give diuretic medicine. Bronchodilators and antibiotics. Date 14 Sep. 2023. Follow up with lung x-rays and lung computed tomography. It was still seen that there was more white matter spreading in the lungs and fluid in the pleura on both sides. The patient was hospitalized for 16 days. His fever subsided. His symptoms gradually improved. Before going home, he did not cough, was not tired, and his swollen feet had subsided. He was able to walk. No need for oxygen Chest x-rays slowly improved. The patient came back for another examination today (Oct. 2, 2023). He lost 5 kilograms, no swelling, no fever, no coughing, no fatigue. The oxygen level at his fingertips was 95%. X-rays of his lungs were much better. Dr. Manoon stated that Thai people are sick these days. It’s a lot of people have the flu. To the point of having to pre-order influenza medicine in advance at the hospital. To prevent patients from missing their 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.
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