after being found “Covid Rebound” or recurrence of covid After stopping taking antimicrobial drugs, “Doctor Manu” Dr. Manoon Leechawengwong or respiratory specialist Wichaiyut Hospital Facebook post Mor Manoon Leechawengwong FC one patient case “Sick of the 2nd round of covids” Only 19 days away from the first time, a 67-year-old Thai male patient came to the hospital with fever, cough, and sputum for 10 days.
History of traveling to Italy Boarded the plane on 20 June 2022 after arriving in Italy for 4 days on 24 June. Onset of symptoms of fever, cough, sputum, ATK test itself has been positive. accompanying wife had similar symptoms and was examined ATK Had the same positive result, both of them ate. Andrographis paniculata symptoms improved, healed Returned to Thailand on 9 July. After 4 days back to Bangkok, on 13 July, she started having symptoms of fever, cough and sputum again. ATK The patient had a fever, cough, sputum continued for 10 days, became tired, the patient had had lymphoma and was cured. Stop all medications for 5 years Received 2 doses of AstraZeneca and boosted with 1 dose of Pfizer vaccine.
Physical examination, fever, temperature 39.5°C, abnormal lung auscultation on both sides, lung X-ray, left lung more white than right (see figure), fingertip oxygen level slightly low 94 ATK and RT-PCR SARS-CoV2 positive, RdRp/N-gene (CT Value) 17.4, test
respiratory virus and bacteria PCR panel did not detect other viruses and bacteria that cause pneumonia. Tuberculosis was not detected.
diagnosed as pneumonia from viral infection Covid19 The second dose: remdesivir for 5 days and intravenous steroids. stop using oxygen Blood oxygen levels returned to normal.
This patient was infected with the virus. COVID 2 times, only 19 days apart It is believed to have been infected with different species while traveling in the plane both on the way and on the way back. Because when eating in the plane, you have to take off the mask. The second infection was more severe than the first infection. Although the patient has received 3 doses of the vaccine, the patient may have poor immunity. because he had been sick with lymphoma Even after being cured for 5 years
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