Case Report: Survival of A Coronavirus Disease-2019 (Covid-19) Patient with Acute Respiratory Distress Syndrome (ARDS) in Dr. Soetomo Hospital, Surabaya, Indonesia
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 s...
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doaj-58bc9a6a25794bc4af5b8ddd4d3d09cd2021-08-03T04:14:27ZengUniversitas AirlanggaFolia Medica Indonesiana2355-83932599-056X2021-01-0156323524410.20473/fmi.v56i3.2458411732Case Report: Survival of A Coronavirus Disease-2019 (Covid-19) Patient with Acute Respiratory Distress Syndrome (ARDS) in Dr. Soetomo Hospital, Surabaya, IndonesiaSoedarsono Soedarsono0Bambang Pudjo Semedi1Rosy Setiawati2Resti Yudhawati Meliana3Tutik Kusmiati4Ariani Permatasari5Arief Bakhtiar6Irmi Syafa’ah7Dwi Wahyu Indrawanto8Department of Pulmonology and Respiratory Medicine, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Radiology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Pulmonology and Respiratory Medicine, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Pulmonology and Respiratory Medicine, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Pulmonology and Respiratory Medicine, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Pulmonology and Respiratory Medicine, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Pulmonology and Respiratory Medicine, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Pulmonology and Respiratory Medicine, Dr. Soetomo Hospital, Surabaya, IndonesiaAn 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.https://e-journal.unair.ac.id/FMI/article/view/24584covid-19, acute respiratory distress syndrome |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Soedarsono Soedarsono Bambang Pudjo Semedi Rosy Setiawati Resti Yudhawati Meliana Tutik Kusmiati Ariani Permatasari Arief Bakhtiar Irmi Syafa’ah Dwi Wahyu Indrawanto |
spellingShingle |
Soedarsono Soedarsono Bambang Pudjo Semedi Rosy Setiawati Resti Yudhawati Meliana Tutik Kusmiati Ariani Permatasari Arief Bakhtiar Irmi Syafa’ah Dwi Wahyu Indrawanto Case Report: Survival of A Coronavirus Disease-2019 (Covid-19) Patient with Acute Respiratory Distress Syndrome (ARDS) in Dr. Soetomo Hospital, Surabaya, Indonesia Folia Medica Indonesiana covid-19, acute respiratory distress syndrome |
author_facet |
Soedarsono Soedarsono Bambang Pudjo Semedi Rosy Setiawati Resti Yudhawati Meliana Tutik Kusmiati Ariani Permatasari Arief Bakhtiar Irmi Syafa’ah Dwi Wahyu Indrawanto |
author_sort |
Soedarsono Soedarsono |
title |
Case Report: Survival of A Coronavirus Disease-2019 (Covid-19) Patient with Acute Respiratory Distress Syndrome (ARDS) in Dr. Soetomo Hospital, Surabaya, Indonesia |
title_short |
Case Report: Survival of A Coronavirus Disease-2019 (Covid-19) Patient with Acute Respiratory Distress Syndrome (ARDS) in Dr. Soetomo Hospital, Surabaya, Indonesia |
title_full |
Case Report: Survival of A Coronavirus Disease-2019 (Covid-19) Patient with Acute Respiratory Distress Syndrome (ARDS) in Dr. Soetomo Hospital, Surabaya, Indonesia |
title_fullStr |
Case Report: Survival of A Coronavirus Disease-2019 (Covid-19) Patient with Acute Respiratory Distress Syndrome (ARDS) in Dr. Soetomo Hospital, Surabaya, Indonesia |
title_full_unstemmed |
Case Report: Survival of A Coronavirus Disease-2019 (Covid-19) Patient with Acute Respiratory Distress Syndrome (ARDS) in Dr. Soetomo Hospital, Surabaya, Indonesia |
title_sort |
case report: survival of a coronavirus disease-2019 (covid-19) patient with acute respiratory distress syndrome (ards) in dr. soetomo hospital, surabaya, indonesia |
publisher |
Universitas Airlangga |
series |
Folia Medica Indonesiana |
issn |
2355-8393 2599-056X |
publishDate |
2021-01-01 |
description |
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. |
topic |
covid-19, acute respiratory distress syndrome |
url |
https://e-journal.unair.ac.id/FMI/article/view/24584 |
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