On August 5, 65, Dr. Manoon Leechawengwong, head of the ICU specializing in respiratory diseases, critically ill patients and elderly diseases. at Wichaiyut Hospital Post a message via Facebook, “Mor Manoon Leechawengwong FC” states that the Covid-19 virus has been infected for the second time, 19 days apart.
A 67-year-old Thai male patient who came to the hospital with fever, cough, sputum for 10 days. History of traveling to Italy. Boarded the plane on June 20, 2022 after arriving in Italy for 4 days. On June 24, he began to have symptoms of fever, cough, sputum. ATK test was positive. Wife who went with him. They had similar symptoms and the ATK test gave the same positive results. symptoms improved, healed Returned to Thailand on 9 July. After 4 days back to Bangkok, on 13 July, she started having symptoms like fever, coughing and sputum again. ATK self-test gave negative results. Antibiotics did not improve. The patient had fever, cough, and sputum continued for 10 days. Getting tired The patient had already been treated for lymphoma. Stop all medications for 5 years, receive 2 doses of AstraZeneca and boost with 1 dose of Pfizer vaccine.
Physical examination, fever, temperature 39.5°C, abnormal lung auscultation on both sides, lung X-ray, left lung more white than right (see figure), fingertip oxygen level slightly low 94 ATK and RT-PCR SARS-CoV2 test yielded results. Positive RdRp/N-gene (CT Value) 17.4 Respiratory virus and bacteria PCR panel were tested, no other viruses and bacteria were found. that cause pneumonia Tuberculosis was not detected.
Diagnosed with pneumonia caused by COVID-19 II, 5 days of remdesivir injection and intravenous steroids, patient improved, fever decreased, cough decreased, no fatigue, lung x-ray better stop using oxygen Blood oxygen levels returned to normal.
The patient has contracted the coronavirus twice, just 19 days apart, believed to have been infected with different strains during the flight both on and off. Because when eating in the plane, you have to take off the mask. The second infection is more severe than the first infection, although the patient has received 3 doses of vaccine, but the patient may have poor immunity. because he had been sick with lymphoma Even after being cured for 5 years