Research Article | Open Access
Volume 2021 - 2 | Article ID 198 | https://dx.doi.org/10.51521/IJMCCR.2021.2208
Academic Editor: Mari Uyeda
DR. SHIBIL PK1*, NAZRIN FATHIMA1,
SHAMEER KV1, NEENA ABRAHAM1, MOHAMMED ABBAS1,
JISHANA KP2
1Pharmacist at Department of Pharmacy, Muhammed Bin Zayed
Field Hospital, Ajman, UAE
2 Pharmacist at Department of Pharmacy, CH Hospital Kannur,
Kerala, India
Corresponding Author:
Dr. Shibil PK, Pharmacist at Department of Pharmacy, Muhammed Bin Zayed Field
Hospital, Ajman, UAE, Email: shibilpharma@gmail.com
Citation: Dr. Shibil PK, Nazrin Fathima, Shameer KV,
Neena Abraham, Mohammed Abbas, Jishana KP, (2021). Lessons from the
Covid-19 Global Health Response to Aid in the Detection of Tuberculosis Cases:
Case on Covid -19 and Tuberculosis Coinfection. Int J Med Clin Case Rep, 2(2),1-3.
Copyright: © 2021, Dr. Shibil PK. This is an open-access
article distributed under the terms of the Creative Commons Attribution 4.0
International License, which permits unrestricted use, distribution and
reproduction in any medium, provided the original author and source are
credited.
ABSTRACT
Coronavirus disease 2019 (COVID-19), caused by a novel beta-coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread worldwide since December 2019, causing significant global public health and economic problems. A 56-year-old female patient presented to the emergency department with a history of shortness of breath for 1 week (SpO2 97%), fever for the last 3 days. Associated with ulcers in the mouth. She had COVID 19 infection 3 months back confirmed by PCR, but no hospital admission was required. A second COVID infection caused her to be hospitalized, she was treated according to guidelines National Guidelines for Clinical Management and Treatment of COVID-19. Remdesivir and dexamethasone were given, followed by ceftriaxone as she spiked a fever and her procalcitonin level increase. Partial clearing of bilateral air space shadowing and consolidations, the speculated lung base mass seen in the right lobe, favoring early resolution. No demonstrable pneumothorax. Sputum culture reports revealed heavy growth of pseudomonas aeruginosa, Stenotrophomonas maltophilia. In addition, moderate growth of Enterobacter-cloacae with multiple drug resistance organisms (MDRO). Remained febrile without hypoxemia and prolonged positive PCR, then TB suspected induced sputum was positive for AFB. Treatment with anti-tuberculosis medication HRZE+ Pyridoxine was given to the patient, whose condition was stabilized and he was discharged, but Isolation home quarantine was advised.
KEYWORDS: COVID-19, Tuberculosis Coinfection, MDRO, Viral Pneumonia, Clostridioides Difficile
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