Case Report
Year: 2021 | Month: January | Volume: 11 | Issue: 1 | Pages: 114-117
Mycoplasma Pneumoniae Pneumonia during COVID Pandemic
Riaz Ahamed D1, Vivek U2, Manna Maria3, Gireesh Kumar K. P4, Sreekrishnan T. P5, Sabarish B Nair6, B.S Dhanasekaran7, Naveen Mohan8, Bharath Prasad9, Arun Kumar10, Kathyayini V R11
1,2,3,11Md Resident, Dept of Emergency Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala
4HOD, Dept of Emergency Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala
5,6,8,9,10Assistant Professor, Dept of Emergency Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala
7Professor, Dept of Emergency Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala
Corresponding Author: Riaz Ahamed D
ABSTRACT
A 69-year-old male presented to hospital with fever, followed by dry cough, persistent asthenia and impaired general condition of 1-week duration. On initial examination patient was dyspnoeic & tachycardic with type-1 respiratory failure, Initial Blood analysis showed elevated inflammatory markers and chest X-ray images were suspicious of bilateral COVID-19 pneumonia. Covid-19 antigen test and real-time reverse transcription PCR were sent which turned out to be negative. But in view of high clinical suspicion of COVID-19 he was admitted to ICU and treatment was initiated with Azithromycin, corticosteroids, Low Molecular Weight Heparin and Oseltamivir. Repeated tests for SARS-CoV-2 were negative. Thoracic high resolution CT showed features of interstitial lung disease pattern possibly of infective virology etiology (Co RADS category-5) with overall percentage of lung involvement is approximately 75% by visual assessment. To Rule out other infectious pathogens cultures and atypical pneumonia panels were sent which came to be positive for Mycoplasma Pneumonia. Conservative management was continued for him and became symptomatically better. Context of this case report is that clinical presentation of COVID-19 is not specific Nowadays, in this SARS-CoV-2 community pandemic time we cannot forget that other entities can mimic its clinical features and miss the appropriate diagnosis.
Key words: Mycoplasma Pneumoniae Pneumonia, COVID Pandemic, COVID-19 pneumonia.