Clinical features and multidisciplinary treatment outcome of COVID-19 pneumonia: A report of three cases

J Formos Med Assoc. 2020 Nov;119(11):1702-1709. doi: 10.1016/j.jfma.2020.04.008. Epub 2020 Apr 16.

Abstract

The novel coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused a pandemic threatening global public health. In the current paper, we describe our successful treatment of three COVID-19 pneumonia patients cases including severe cases and cases with mortality risk factors. One 32-year-old male COVID-19 patient was diagnosed with severe COVID-19 pneumonia and moderate ARDS. The second COVID-19 pneumonia patient had a history of diabetes and chronic bronchitis. The third case of COVID-19 pneumonia was an 82-year old female patient. All three cases had severe COVID pneumonia and therefore were aggressively managed with a multidisciplinary and personalized therapeutic approach that included nutritional support, antiviral pharmacotherapy, active control of comorbidities, prevention of complication development and psychological intervention. Our experience highlights the importance of the use of a multidisciplinary therapeutic approach that tailors to the specific condition of the patient in achieving a favorable clinical outcome.

Keywords: COVID-19; Multidisciplinary therapeutic approach; SARS-CoV-2.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Antiviral Agents / administration & dosage*
  • Betacoronavirus / isolation & purification*
  • COVID-19
  • Comorbidity
  • Coronavirus Infections* / epidemiology
  • Coronavirus Infections* / physiopathology
  • Coronavirus Infections* / psychology
  • Coronavirus Infections* / therapy
  • Diabetes Mellitus, Type 2* / epidemiology
  • Diabetes Mellitus, Type 2* / therapy
  • Female
  • Humans
  • Lung / diagnostic imaging
  • Male
  • Medicine, Chinese Traditional / methods
  • Middle Aged
  • Nutritional Support / methods
  • Oxygen Inhalation Therapy / methods
  • Pandemics*
  • Patient Care Management / methods*
  • Patient Care Team / organization & administration*
  • Pneumonia, Viral* / epidemiology
  • Pneumonia, Viral* / physiopathology
  • Pneumonia, Viral* / psychology
  • Pneumonia, Viral* / therapy
  • Psychological Techniques
  • Pulmonary Disease, Chronic Obstructive* / epidemiology
  • Pulmonary Disease, Chronic Obstructive* / therapy
  • SARS-CoV-2
  • Symptom Assessment / methods
  • Tomography, X-Ray Computed* / methods
  • Treatment Outcome

Substances

  • Antiviral Agents