From the end of the rainy season to the beginning of winter There has been an outbreak of Human Metapneumovirus (hMPV) along with RSV.
Dr. Manoon Leechawengwong, Head of Respiratory Diseases Vichaiyut Hospital Post on Facebook with a picture explaining the symptoms of this disease: Similar to influenza, COVID-19 and RSV include fever, body aches, cough, phlegm, mucus, tiredness, and difficulty breathing. Difficult to distinguish from other viruses You have to send it to a laboratory to be able to tell. Currently, testing for hMPV is easy by using a nasal swab and gives quick results, making this infection more common than ever before. Commonly found in young children. and the elderly
The hMPV virus often enters the lower respiratory tract, bronchial tubes, and lungs in elderly people with underlying medical conditions such as heart disease, high blood pressure, diabetes, asthma, and kidney disease, causing fatigue. Until needing to give oxygen Some people even have respiratory failure. There is no antiviral drug and no vaccine to protect against this virus. Provide treatment according to symptoms
Dr. Manoon raised the case of a 72-year-old Thai male patient with high blood pressure, diabetes, and chronic kidney disease. Came to the hospital on October 24, 2023 with a lot of coughing, clear mucus, some sore throat, fatigue, difficulty breathing for 1 day, high fever, physical examination, temperature 39 degrees Celsius, abnormal sounds in the lungs. Leg slightly swollen, blood drawn, slight anemia. normal white blood cells Kidney function BUN 96 Cr 8.9 Blood oxygen level at fingertips very low 84%. Human Metapneumovirus (hMPV) was found to give oxygen at a high flow rate through the nose (High-flow nasal cannula) and steroids. Later, he had to undergo dialysis. The lung x-ray is worse. Then gradually got better, tiredness and cough gradually improved. Sleeping for treatment in the hospital. After 12 days, the lung x-ray finally improved a lot (see picture). I was able to go home, no need to use oxygen.
As for the patient’s wife, aged 68 years, healthy, she was infected with hMPV from the patient on October 25, 2023, but had few symptoms, including a runny nose, sore throat, headache, and some body aches, no fever, no cough, and recovered within 5 days.
For prevention of hMPV infection, there is currently no vaccine to prevent hMPV infection, so the best prevention is Avoid taking young children to crowded community places. Avoid close contact with sick people. Wearing a hygienic mask Do not pick your nose or put your hand in your mouth. and washing hands frequently to reduce the chance of respiratory infections
Compiled by Siam News
2023-11-25 09:14:13
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