Page 56 - Living-on-the-frontline-of-COVID-19-in-MCO-and-CMCO
P. 56

Case 4


               The fourth case is a 68 years old man, a former smoker with comorbidities such as

               Ischaemic   Heart   Disease   on   pacemaker   and   chronic   obstructive   pulmonary
               disease. He was in ICU for two months, intubated with tracheostomy. He received

               a   number   of   treatments:   Kaletra,   Hydroxychloroquine,   SC   interferon   and   IV
               dexamethasone.   At   the   fourth   or   fifth   week   of   illness,   he   was   given   IV
               methylprednisolone only one dose because he was then complicated with upper GI

               bleed and sepsis. He was treated with courses of antibiotics. They managed to
               wean him off from the ventilator and he was on a tracheostomy mask upon transfer
               to the ward for rehabilitation. However, after staying a day or two, he was well

               under room air and now he is actually mobilizing on a wheelchair after two months
               being in ICU. He had CT thorax at fourth week of illness and a repeated CT thorax

               recently, six weeks later.
   51   52   53   54   55   56   57   58   59   60   61