Having Covid-19 with Lupus erythematosus without knowing it

Ho Chi Minh CitySuffering from fever and generalized edema for the past two months, a 28-year-old woman living in Cu Chi at home takes fever-reducing medicine by herself.

Until the difficulty of breathing increased significantly, had to breathe, the patient was taken to Xuyen A General Hospital for emergency, diagnosed with mild Covid-19 disease, with signs of pericardial effusion. The results of ultrasound and X-ray showed that the patient’s heart was compressed by a large amount of fluid, with abdominal fluid, and bilateral pleural effusion.

The patient underwent surgery to drain pericardial fluid and left pleural fluid, escaped critically, and was treated in the Covid-19 recovery area.

During treatment, the doctor discovered that the patient had systemic lupus erythematosus. Systemic lupus erythematosus is a chronic autoimmune inflammatory disease with multisystem manifestations, occurring mainly in young women. Common manifestations may include arthralgia, Raynaud’s syndrome, macular and other rashes, pleurisy and pericarditis, kidney or CNS damage, and decreased blood cell lines.

X-ray film of a patient with bilateral pleural effusion and pericardial effusion. Photo. Xuyen A General Hospital

Patient is being treated for Lupus in parallel with Covid-19. The disease progressed stably, she was drained after 5 days.

On September 24, Master Doctor Vu Le Anh (Head of Covid-19 Treatment Department of Xuyen A General Hospital), said: “The patient has an underlying Lupus disease but was not diagnosed and treated early, and was hospitalized. In a severe case with a large pericardial effusion, fortunately, it was diagnosed in time and treated with the right regimen.

Currently, the patient's health is stable and recovering well.  Photo.  Xuyen A General Hospital

Currently, the patient’s health is stable and recovering well. Photo. Xuyen A General Hospital

Le Cam


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