Dr. Manoon revealed that the COVID epidemic was coupled with influenza. concurrently infected with the risk of serious illness Ready to raise the case of male patients not vaccinated against
Today (Dec. 16, 2022), Dr. Manoon Leechawengwong, a specialist in respiratory diseases Vichaiyut Hospital Published a message via the Facebook page, Doctor Manoon Lee Chawengwong FC, stating that during this period, in addition to a new large epidemic of COVID-19 There is also an epidemic of influenza. People who have never received the COVID vaccine and the flu vaccine. If infected with both the COVID-19 virus and influenza at the same time have a chance to be seriously ill May everyone who has not injected Hurry up to get vaccinated against COVID and influenza.
Dr. Manoon raised the case of a 52-year-old Thai male patient who was normally healthy. no congenital disease Haven’t been examined for almost ten years. Never been vaccinated against COVID-19 and influenza 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 testing for influenza type B gave positive results, blood tests showed high sugar. have diabetes X-ray of the lungs normal, normal oxygen, received Molnupiravir drug to treat COVID. oseltamivir to treat influenza and diabetes medication Stay in the hospital for 3 days, coughing, more tired, still have high fever, low oxygen, chest X-rays start to have white patches. Let’s move to continue 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. 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 instant immunity, Evusheld 2 injections in each hip to treat COVID And continue to take oseltamivir to treat influenza for 5 days. Diabetes can be controlled by administering insulin. Fever subsides, cough persists, tiredness improves, white patches in both lungs decrease.
