2023-11-08 03:40:10
Dr. Manoon reveals the case of a 72-year-old Thai man with a fever and abnormal sounds in his lungs. Tested positive for the virus. “Human Metapneumovirus” (hMPV) must be treated according to symptoms. Because there is still no antidote or vaccine to prevent it.
On November 8, 2023, it was reported that Dr. Manoon Leechawengwong, a physician specializing in respiratory system diseases, Vichaiyut Hospital Posted a message via personal Facebook stating that it is from the end of the rainy season to the beginning of winter. That is from the beginning of August – November. There has been an outbreak of Human Metapneumovirus (hMPV) along with RSV.
Symptoms of this disease are similar to influenza, COVID-19 and RSV, including fever, body aches, cough, phlegm, mucus, tiredness, and difficulty breathing. Difficult to distinguish from other viruses You must send it to a laboratory to be able to tell. Nowadays, hMPV testing is easy to do by poking your nose, giving quick results, making this infection more common than before. Commonly found in young children. and the elderly
The hMPV virus usually enters the lower respiratory tract, bronchial tubes. and lungs in elderly people with chronic diseases such as heart disease, high blood pressure, diabetes, asthma, kidney disease, causing fatigue. Until needing to give oxygen Some people even have respiratory failure. There is no antiviral drug for this infection. And there is no vaccine to prevent it. Provide treatment according to symptoms
Thai male patient, age 72 years, has high blood pressure, diabetes, and chronic kidney disease. Came to the hospital on October 24, 2023 with a lot of coughing, clear mucus, some sore throat, fatigue, difficulty breathing for 1 day, high fever, physical examination, temperature 39 degrees Celsius, abnormal sounds in the lungs. Leg slightly swollen, blood drawn, slight anemia. normal white blood cells Kidney function BUN 96 Cr 8.9 The blood oxygen level at the fingertips is very low, 84%. Lung x-ray has white patches in both lungs (see picture).
Probe your nose to check for viral antigens. Found human metapneumovirus (hMPV). Gives oxygen at a high flow rate through the nose (High-flow nasal cannula). Gives steroids. Later, he had to undergo dialysis. X-rays of the lungs got worse then gradually improved (see picture). Tiredness and cough gradually improved. Stayed in the hospital for 12 days. Finally, the lung x-rays improved a lot (see picture). We were able to go home, no need to use oxygen.
The patient’s wife, aged 68 years, is healthy and was infected with hMPV from the patient on October 25, 2023, but had few symptoms, including a runny nose, sore throat, headache, and some body aches, no fever, no cough, and recovered within 5 days.
Thank you for the information from the Facebook page of Dr. Manoon Leechawengwong FC.
1699417413
#period #hMPV #virus #began #spread #symptoms #similar #COVID #antidote #vaccine