On 2 May 65, Dr. Manoon Leechawengwong, a physician specializing in respiratory diseases, critically ill patients and the elderly Wichaiyut Hospital And the president of the Thai Medical Fungus Club posted through the page of Dr. Manoon Lee Chawengwong FC, stating that…
Comparing two elderly patients, one received two doses of AstraZeneca and the other never received a single dose. received molnupiravir Because there is a high risk of developing severe symptoms after being infected with the COVID-19 virus.
A 74-year-old male patient with high blood pressure. enlarged prostate Received 2 doses of AstraZeneca vaccine, last dose in June 2021. Started having fever, cough, sore throat for 3 days. Not tired.
Detected RT-PCR positive COVID-19 on April 3, 2022. Blood oxygen levels normal. normal lung x-ray Start 4 capsules of molnupiravir every 12 hours, fever decreases, cough, sore throat improves, no side effects from medication. After 5 days of taking molnupiravir, I’m fine, able to go home, follow up for another 2 weeks, normal lung X-rays.
A 77-year-old male patient is in good health. no underlying disease Never had a single vaccination, cough, phlegm for 4 days, no fever, not tired. RT-PCR positive test on April 11, 2022. Blood oxygen level normal. normal lung x-ray Indication of normal inflammation in the body hs-CRP 1.6 (normal value 0-5) Molnupiravir started on April 12, 2022, cough, sputum decreased, no drug side effects after 5 doses. On the day his symptoms improved, but on April 18, after one day of discontinuation of molnupiravir, he had fever, sore throat, an increase in inflammatory markers in the body, hs-CRP 30.2, normal lung X-rays. Blood oxygen levels are normal. gave steroids for 5 days, fever, and throat irritation improved. better follow up on patients normal lung x-ray
Conclusion: Getting 2 doses of vaccine even without booster. Better than never getting a single dose of vaccine. Vaccines improve treatment outcomes. Molnupiravir, given within 5 days, is effective in preventing elderly people who have not received the first dose of vaccine or who have received 2 doses that have not received a booster. not to be severely ill can prevent pneumonia It is high time that Thai doctors should not use favipiravir to treat high-risk, severe cases of COVID-19. Because we have drugs that are more effective.