42-Year-Old Patient With Severe COVID-19 Pneumonia and Cytokine Storm: Hurdles During Management

  • Maksudul Islam Mazumder Registrar, Medicine Department, Popular Medical College Hospital, Dhanmondi, Dhaka, Bangladesh
  • Sumaiya Akter Assistant Registrar, Medicine Department, Popular Medical College Hospital, Dhanmondi, Dhaka, Bangladesh
  • Halima Sadia Assistant Registrar, Medicine Department, Popular Medical College Hospital, Dhanmondi, Dhaka, Bangladesh
  • Ishrat Binte Reza Assistant Professor, Medicine Department, Popular Medical College Hospital, Dhanmondi, Bangladesh
  • M Zahir Uddin Professor, Medicine Department, Popular Medical College Hospital, Dhanmondi, Dhaka, Bangladesh
  • HAM Nazmul Ahasan Professor, Medicine Department, Popular Medical College Hospital, Dhanmondi, Dhaka
Keywords: COVID-19, Cytokine release syndrome

Abstract

A middle aged man presented with fever for 14 days, dry cough for 10 days and shortness of breath for 6 days. He tested positive for RT-PCR for COVID-19 on 5th day of illness. Patient was maintaining home isolation until he developed shortness of breath. After hospitalization patient was treated with standard dose of Remdesivir, dexamethasone and antibiotics. But his oxygen demand was increasing day by day. Inflammatory markers including serum ferritin, CRP level was also increasing. Patient was having a cytokine storm. At this point of treatment anti IL6 Tocilizumab was being considered. But patient’s wellbeing was improved and tocilizumab was not given. Our patient gradually recovered from severe COVID-19 pneumonia and cytokine storm without tocilizumab.

J MEDICINE JUL 2020; 21 (2) : 119-122

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Abstract
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Published
2020-11-09
How to Cite
Mazumder, M., Akter, S., Sadia, H., Reza, I., Uddin, M. Z., & Ahasan, H. (2020). 42-Year-Old Patient With Severe COVID-19 Pneumonia and Cytokine Storm: Hurdles During Management. Journal of Medicine, 21(2), 119-122. https://doi.org/10.3329/jom.v21i2.50219
Section
Case Reports