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A Patient with COVID-19 Disease in a Referral Hospital in Iran: A Typical Case
Fereshteh Ghiasvand1, Sepideh Zahak Miandoab2, Hamid Harandi3
1Liver Transplantation Research Center, Department of Infectious Diseases, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Insights
This case report details a 61-year-old diabetic woman in Iran diagnosed with Coronavirus Disease 2019 (COVID-19). Treatment with Oseltamivir, Lopinavir/Ritonavir, and hydroxychloroquine led to recovery and discharge.
Area of Science:
- Infectious Diseases
- Virology
- Public Health
Background:
- The global emergence of SARS-CoV-2 (Coronavirus Disease 2019) prompted widespread concern and research.
- Early identification and management strategies were crucial for patient outcomes and containment.
Observation:
- A 61-year-old female with diabetes mellitus presented with fever, chills, and myalgia.
- Initial laboratory findings included elevated ESR and mild leukopenia.
- Chest X-ray revealed bilateral ground-glass opacity, and oxygen saturation was critically low (87%).
Findings:
- The patient tested positive for SARS-CoV-2 via PCR.
- Treatment involved Oseltamivir, Lopinavir/Ritonavir, and hydroxychloroquine.
- Significant improvement was observed, with oxygen saturation rising to 93% and fever resolving by day 10.
Implications:
- This case highlights the clinical presentation and management of COVID-19 in an Iranian patient with comorbidities.
- The therapeutic regimen showed efficacy in improving clinical status and oxygenation.
- Adherence to national protocols for quarantine post-discharge is essential for public health measures.
Abstract:
After the initial outbreak of the new Coronavirus in Wuhan at the end of December 2019, many new cases were reported in other provinces of China and also many other countries over the world, including South Korea, Italy, Iran, Japan, and 68 other countries. We present a case report of a 61-year-old woman with a history of diabetes mellitus who was referred to the emergency department of a referral hospital in Tehran, Iran. The patient presented with fever, chills, and myalgia within three days. Laboratory analysis showed increased levels of erythrocyte sedimentation rate (ESR), and mild leukopenia. SARS-CoV-2 PCR test -under the Iran Ministry of Health and Medical Education (MoH&ME) guidelines- was conducted and the result was positive. The chest X-ray showed bilateral ground-glass opacity. O2 saturation was 87% (without O2 therapy). The patient was hospitalized and treated with Oseltamivir 75 mg every 12 hours, Lopinavir/Ritonavir (Kaletra) 400/100 mg every 12 hours and hydroxychloroquine 400 mg stat. The patient's last O2 saturation measured was 93% and she had no fever on the 10th day of hospitalization. Therefore, she was discharged from hospital and quarantined at home according to the Iran Ministry of Health protocol.
