Complications of Coronavirus Disease-19 in a Hospitalized Patient: A Case Report

Authors

  • Iskra Meshkova Department of Anesthesiology and Intensive Care, City General Hospital 8th September, Skopje, Republic of Macedonia
  • Dragan Mijakoski Department of Allergy, Institute of Occupational Health of Republic of Macedonia, Skopje, Republic of Macedonia; Department of Occupational Medicine, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of Macedonia
  • Magdalena Simeonova Department of Endocrinology, City General Hospital 8th September, Skopje, Republic of Macedonia
  • Zorica Markovska Department of Anesthesiology and Intensive Care, City General Hospital 8th September, Skopje, Republic of Macedonia
  • Vesna Markoska Department of Anesthesiology and Intensive Care, City General Hospital 8th September, Skopje, Republic of Macedonia

DOI:

https://doi.org/10.3889/oamjms.2020.5615

Keywords:

pandemics, intensive care, lungs, corona virus, treatment, prevention, SARS-CoV-2

Abstract

BACKGROUND: Coronavirus (CoV) disease (COVID)-19 infection is a major public health issue worldwide with no specific therapy or vaccine.

CASE REPORT: COVID-19-positive patient was hospitalized due to a dry irritating cough that has persisted for 3 days. The polymerase chain reaction test to severe acute respiratory syndrome-CoV-2 was positive. Computed tomography (CT) scan of the lungs showed massive bilateral consolidation. The patient was set to oxygen support (6 L/min). Two hours after referring the patient’s condition worsened with shortness of breath, suffocation, wheezing, and decreased saturation (77%). The patient was given mechanical support with continuous positive airway pressure mask. Therapy included azithromycin 500 mg and ceftriaxone 2 g. On the 3rd day of hospitalization, there was a sharp deterioration of the condition and a decrease in saturation (40%). The patient was intubated and immediately placed on intermittent positive pressure ventilation. Azithromycin was now combined with meropenem 3 × 1 g. The next morning patient’s condition further worsened with decrease in saturation and heart rate. The resuscitation was unsuccessful.

CONCLUSION: COVID-19 is primary a respiratory infection, but the virus also affects other organs with poor outcome.

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Author Biography

Dragan Mijakoski, Department of Allergy, Institute of Occupational Health of Republic of Macedonia, Skopje, Republic of Macedonia; Department of Occupational Medicine, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of Macedonia

ÐÑиÑÑ‚. д-Ñ€ Драган МијакоÑки е роден на 21. V 1977 год., во Прилеп. ОÑновно образование и природно-математичка гимназија Ñо одличен уÑпех завршил во 1995 година. Ðа МедицинÑкиот факултет при Универзитетот “Св. Кирил и Методиј“ во Скопје дипломира во 2002 година Ñо проÑечен уÑпех 9,19. Од учебната 2002/2003 година е запишан како редовен Ñтудент на поÑледипломÑки Ñтудии при МедицинÑкиот факултет во Скопје од облаÑта хигиена и медицина на трудот, кои ги завршува во 2009 година и Ñе Ñтекнува Ñо звањето магиÑтер на медицинÑки науки. Изработката на докторÑката диÑертација од облаÑта на медицината на трудот ја започнува во 2012 година.

ПоÑле изборот за помлад аÑиÑтент на Катедрата за медицина на трудот при МедицинÑкиот факултет во Скопје во октомври 2003 година, активно е вклучен во процеÑот на едукација на Ñтудентите по медицина и Ñтоматологија, виÑоката школа за медицинÑки ÑеÑтри, физиотерапевти и логопеди. Во 2010 година е избран за аÑиÑтент на Катедрата за медицина на трудот при МедицинÑкиот факултет во Скопје. Специјализацијата по медицина на трудот на МедицинÑкиот факултет во Скопје ја завршува во ноември 2008 година, а ÑубÑпецијализацијата по пулмологија и реÑпираторна алергологија ја започнува во декември 2012 година. Од 2003 година работи во Центарот за алергија при ИнÑтитутот за медицина на трудот на РМ - Скопје, Колаборативен центар на СЗО и Колаборативен центар на GA2LEN.

Солидно ги познава компјутерÑката информатика и англиÑкиот јазик. Член е на МакедонÑкото реÑпираторно здружение, МакедонÑкото  здружение за медицина на трудот, Меѓународната комиÑија за медицина на трудот, ЕвропÑкото реÑпираторно здружение и ЕвропÑката академија за алергологија и клиничка имунологија.

Како Ñоработник - иÑтражувач уÑпешно е вклучен во активноÑтите на научноиÑтражувачките проекти во кои учеÑтвува ИнÑтитутот за медицина на трудот. Соработник е во проектот â€Ð¢Ñ€ÐµÐ½Ð¸Ð½Ð³ и иÑтражување во облаÑта на здравÑтвената екологија и медицината на трудот на Балканот†(TREHB), предводен од Државниот универзитет во Мичиген, ИнÑтитут за интернационално здравје, финанÑиран од Фогарти Фондацијата, 2006-2010, а иÑтражувач е и во Ñтудијата за епидемиологијата на аÑтмата и алергиÑките болеÑти во Европа која Ñе изведува во рамките на Global European Asthma and Allergy Network (GA2LEN). Од 2009 година е вклучен во активноÑтите на FP7 проектот Ñо наÑлов “Подобрување на квалитетот и безбедноÑта во болниците: ПоврзаноÑÑ‚ помеѓу организациÑката култура, Ñиндромот на Ñогорување и квалитетот на здравÑтвените уÑлуги†(ORCAB), интернационален проект кој што Ñе Ñпроведува во 9 европÑки земји (Грција, ИрÑка, Велика Британија, Турција, Португалија, Романија, Бугарија, ХрватÑка и Македонија).

            Како лекар, во ИнÑтитутот за медицина на трудот, СЗО Колаборативен центар, активно ги Ñледи и ги проучува Ñпецифичните проблеми од медицината на трудот кои Ñе Ñреќаваат во Ñекојдневната практика, а Ñе однеÑуваат на профеÑионалните болеÑти од облаÑта на пулмоалергологијата, индуÑтриÑката токÑикологија и Ñл. СоглаÑно Ñо неговите компетенции, ангажиран е во Ñтручните и научните активноÑти на ИнÑтитутот. Ðвтор или коавтор е на над 100 Ñтручни и научни труда кои Ñе објавувани во домашни и ÑтранÑки ÑпиÑанија.

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Published

2020-12-25

How to Cite

1.
Meshkova I, Mijakoski D, Simeonova M, Markovska Z, Markoska V. Complications of Coronavirus Disease-19 in a Hospitalized Patient: A Case Report. Open Access Maced J Med Sci [Internet]. 2020 Dec. 25 [cited 2024 Nov. 2];8(T1):613-8. Available from: https://oamjms.eu/index.php/mjms/article/view/5615