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Case Report: Survival of A Coronavirus Disease-2019 (Covid-19) Patient with Acute Respiratory Distress Syndrome (ARDS) in Dr. Soetomo Hospital, Surabaya, Indonesia

Authors :
Soedarsono Soedarsono
Bambang Pudjo Semedi
Rosy Setiawati
Resti Yudhawati Meliana
Tutik Kusmiati
Ariani Permatasari
Arief Bakhtiar
Irmi Syafa’ah
Dwi Wahyu Indrawanto
Source :
Folia Medica Indonesiana, Vol 56, Iss 3, Pp 235-244 (2021)
Publication Year :
2021
Publisher :
Universitas Airlangga, 2021.

Abstract

An outbreak of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that began in Wuhan, China has spread rapidly in multiple countries of the world and has become a pandemic. Currently, there is no vaccine or specific antiviral for COVID-19. A study reported 7.3% of critical patients admitted to ICU, 71% of them required mechanical ventilation, and 38.5% of them were survived. Herein, we reported a 54 year old man with Acute Respiratory Distress Syndrome (ARDS) of COVID-19 who survived the disease. Real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay of nasopharyngeal and oropharingeal swabs were positive for SARS-CoV-2. Diagnosis of ARDS was also according to clinical symptoms, laboratory, chest radiograph, and chest CT scan. Alcaligenes faecalis and Candida albicans were also identified from sputum culture. Treatment for this patient was causal and supportive therapy, including antibiotic, antiviral, and antifungal therapy according to the culture results, fluid resuscitation, and oxygen supply from the mechanical ventilator. This patient was survived and discharged on hospital day-29. A fibrosis in parenchyma pulmonary and sensory peripheral neuropathy occurred after survived from ARDS. Monitoring of clinical, laboratory, and chest radiograph were continued after the patient discharged from the hospital. This case highlights the importance of early diagnosis and effective treatment to the care of COVID-19 patient.

Details

Language :
English
ISSN :
23558393 and 2599056X
Volume :
56
Issue :
3
Database :
Directory of Open Access Journals
Journal :
Folia Medica Indonesiana
Publication Type :
Academic Journal
Accession number :
edsdoj.58bc9a6a25794bc4af5b8ddd4d3d09cd
Document Type :
article
Full Text :
https://doi.org/10.20473/fmi.v56i3.24584