Doctors flag early lung infections as new Covid-19 concern. A 60-year-old couple in southern Mumbai went to the doctor last week after suffering a fever for two days. While the doctor was examining them with the help of a stethoscope, he heard what are known as both crackles: normal sounds from the lungs suggest pneumonia. Covid-19 tests were also found to have pneumonia and a CT scan was performed. But to the surprise of the doctor, a psychiatrist at Bhatia Hospital, Tardeo, was a continuous lung infection. In the past, Covid-19 pneumonia was diagnosed after at least ten days of symptoms, but in the older couple, pneumonia had spread on the third day.
Dr. Samrat Shah, who treats the elderly couple said that the lung involvement within the second or third day of onset of symptoms is related. Shah said their lungs were very sick, and the average CT scan was above 7, which means they had already crossed a lower distance.
As Mumbai is experiencing an increase due to the second wave of the Covid epidemic, doctors across the city say that CT scans of reliable patients show rapid lung changes even though power statistics are rapidly changing.
Depending on their age, the couple had to be hospitalized. But they did not find a bed in a private hospital. They were put on intravenous steroids and antiretroviral drugs at home and are now on their way to recovery. According to Dr. Shah, about 30% of his patients develop primary lung diseases. During the last wave, only some of the non-disabled patients could contract such early diseases, he said.
Dr Khusrav Bajan, a physician and paramedic at PD Hinduja Hospital in Mahim, said about 15% of his Covid-19 patients were suffering from pneumonia. “Last year, such cases were almost 5% to 10%,” said Dr. Bajan, adding that the CT scans of these patients were declining rapidly, within a day or two.
The average weight of the CT-scan, ranges from 0 to 25; 7 to 12 indicate moderate infection; above 12 indicates severe infection; below 7 indicates minimal infection.
“I have a lot of patients slipping from 5 to 20 in less than a day. They often have pneumonia and severe respiratory depression. It is also common for young people, under the age of 45, to develop these early diseases, ”said Bavan.
Since reporting an average of 526 cases per day in January, the daily average in Mumbai increased to 655 cases per day in February and jumped sharply to 2866 cases per day in March. The increase continues this month and the city reports an average of 9500 per day for the first five days. The number of active cases in the city increased by more than 700% over the course of a month: from 9055 on March 5 to 73,281 on April 5.
According to the dashboard that was given by BMC said that the12707 patients are currently hospitalized. Of these, 1776 were admitted to the intensive care unit. Some 1937 patients were admitted to the Covid Care Center (CCC2) designed for constructive, disease-free patients. About 2% of active cases are important.
“As long as the number goes up, and more patients are symptoms, the response rate is much better. This helps as patients do not get into critical condition, ”said Dr Pratit Samdani, who is currently treating one rare case of a 65-year-old treasurer who contracted lung fibrosis on the seventh day of hospitalization. Lung fibrosis is a serious condition in which the lung tissue has a large scar and the damage cannot be repaired. “We usually see fibrosis after three to four weeks. It is not uncommon for fibrosis to appear soon, ”he said.
However, experts also say that a large number of Covid-19 cases of the ongoing second wave have led doctors to see these things more clearly. “Some patients are falling apart very quickly. We also see a lot of lungs in patients but we saw the same condition as last year, ”said Dr Rahul Pandit, a medical doctor at Fortis Hospital and a member of the Maharashtra Covid-19 group. “I think the target right now is a large number of cases.”