27 Feb 2022 – Dr. Manoon Leechawengwong (Doctor Manoon), a respiratory specialist Wichaiyut Hospital Posted via private Facebook (Mor Manoon Leechawengwong FC) with the message that
Elderly people, people with 7 chronic diseases and pregnant women If infected with the COVID-19 virus Omicron species Even if you have received 2 doses of AstraZeneca vaccine or if you have received the inactivated Sinovac vaccine. or 2 doses of Sinofarm followed by 1 more dose of AstraZeneca vaccine, the virus may still enter the lungs. can cause pneumonia A further dose of the Pfizer or Moderna mRNA vaccine is required to be safer.
A 93-year-old Thai female patient with diabetes. high blood pressure arrhythmia Had surgery for breast cancer two years ago. First dose of AstraZeneca vaccine on June 21, 2021 and second dose on September 13, 2021. Prepare to be vaccinated with Pfizer. But first infected with the COVID-19 virus, the patient did not go out of the house. But was infected with COVID on February 5, 2022 from a domestic worker. He has a sore throat, runny nose, some cough, no fever, no tiredness, nose smells, tongue tastes, no diarrhea. Came to the hospital on 7 Feb. ATK test gave a positive result, confirmed by RT-PCR test, SARS-CoV2, 96% normal fingertip oxygen level, normal lung X-ray. The patient voluntarily asked to stay at home for treatment. daily tracking phone Favipiravir is not administered. because the patient took diabetic medication And no studies comparing favipiravir to placebo have shown that favipiravir can reduce serious morbidity and mortality.
Follow up with patients by phone every day until the 7th day after contracting the coronavirus. Patients eat less food Blood sugar dropped to 53 mg%, fever started, exhausted, immediately went to bed in the hospital on February 12, 65, fever, temperature 39 degrees Celsius, blood oxygen level dropped to 92%. Lung X-ray began to have white patches on both sides (see Figure) Leukocyte low 4490, inflammation in the blood hs-CRP 57 high (normal value 0-5) LDH 312 slightly elevated (normal value 120-246) nasal cannula oxygen 3 l/min treated. With intravenous steroids for 5 days, fever decreased, no tiredness, blood oxygen level improved. lung x-ray improved the patient can go home does not require oxygen After 6 days in the hospital, follow up on X-ray of the lungs 1 week after leaving the hospital. X-ray of the lungs returned to normal (see picture). Now the patient is fine, not tired, not coughing, eating well. If the patient was previously vaccinated with the mRNA vaccine, Pfizer or Moderna, This is the 3rd needle. Symptoms after infection with omikron will probably be lighter.
