COVID CASE REPORT LOGS FOR MAY 2021
1) Covid 19 with co morbidity (Pulmonology/Rheumatology) https://nikhilasampathkumar. blogspot.com/2021/05/covid- pneumonia-in-pre-existing- case-of.html Q1) How does the pre-existing ILD determine the prognosis of this patient? In patients with preexisting ILD, COVID-19 infection has led to acute exacerbation of underlying ILD. The criteria for ILD exacerbation include: 1) subacute worsening of dyspnea 2) hypoxemia 3)new pulmonary infiltrates on imaging 4)absence of pulmonary emboli 5)cardiac failure 6) other non-pulmonary causes Thus it leads to a poor prognosis Q2) Given the history of autoimmune disease in the patient, how does the administration of steroids for COVID affect her RA and hypothyroidism? Corticosteroids manages the disease flares and for initial treatment of RA glucocorticoids are significant risk factor for bacterial infections. Glucocorticoid use doubled the rate of serious bacterial infections in a dose-dependent manner as compared with methotrexate
