Critical Case of COVID-19
A 42 year old male patient presented to ED with two day history of fever and mild shortness of breath.
No cough, no sore throat, no runny nose, no myalgia, no anosmia/hyposmia, no nausea or vomiting, no Abdo pain and no diarrhoea.
He has no past medical history, not on any medications and is an Ex-Smoker.
On examinations, he had high-grade fever and O2 Saturation of 91-92 on room air. Chest examinations revealed bibasal fine crepitations. Normal findings on CVS and abdominal examinations.
Chest X-Ray show Cannon ball opacities in both lung fields.
ABG shows T1RF.
Basic Blood tests show Lymphocytopenia, raised inflammatory markers and stage 1 AKI.
Patient was initially admitted to the ward but rapidly deteriorated and developed Haemoptysis and Severe Shortness of breath.
CT CAP with contrast shows Classic COVID-19 infection with CT severe score. No other abnormalities in abdomen or pelvis.
Nose and Throat swab tests are positive for COVID-19 four times.
Full immunology, Rheumatology and Virology screen are all negative.
Blood cultures did not show growth of any bacteria.
How would you treat this patient?