Case 3
A 25 years old Iranian pregnant housewife – known case of sickle cell
anemia – presented in the sixth week of pregnancy with myalgia, fever
and chills, and dry coughs since a week ago. She didn’t respond to
outpatient treatment and didn’t receive the COVID-19 vaccine. Vital
signs were normal: temperature of 37.5°C, respiratory rate of 15/min,
blood pressure of 110/90 mmHg, and SPO2 of 98%.
In physical examination, the conjunctiva was pale and lung auscultation
was clear. Based on the history and symptoms of the patient, PCR tests
for COVID-19 and influenza were taken which were positive
simultaneously. The patient has been treated with oseltamivir 75mg PO
every 12 hours for five days and remdesivir 200mg STAT and 100mg daily
through IV-line for three days. The patient was discharged with good
general conditions and advised for outpatient follow-up. A week later,
coughs and myalgia were completely recovered.
Results of laboratory tests of three patients are summarized below.