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Intern Med ; 60(1): 123-130, 2021.
Article in English | MEDLINE | ID: covidwho-1004553

ABSTRACT

Case 1: A 65-year-old man with novel coronavirus infection (COVID-19) complicated with acute respiratory failure. On admission, the patient was started on favipiravir and corticosteroid. However, due to a lack of significant improvement, he was introduced to mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Although iliopsoas hematoma occurred as a complication, the patient recovered. Case 2: A 49-year-old man with COVID-19 had been started on favipiravir and corticosteroid. Due to progressive respiratory failure, the patient underwent mechanical ventilation and ECMO. The patient recovered without complications. We successfully treated these severe cases with a multimodal combination of pharmacological and non-pharmacological supportive therapy.


Subject(s)
Adrenal Cortex Hormones/therapeutic use , Amides/therapeutic use , Antiviral Agents/therapeutic use , COVID-19/therapy , Extracorporeal Membrane Oxygenation , Methylprednisolone/therapeutic use , Pyrazines/therapeutic use , Respiration, Artificial , Aged , COVID-19/complications , Humans , Male , Middle Aged , Respiratory Insufficiency/therapy , Respiratory Insufficiency/virology , SARS-CoV-2
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