Case 3
A 25 years old Iranian pregnant housewife – known case of sickle cell anemia – presented in the sixth week of pregnancy with myalgia, fever and chills, and dry coughs since a week ago. She didn’t respond to outpatient treatment and didn’t receive the COVID-19 vaccine. Vital signs were normal: temperature of 37.5°C, respiratory rate of 15/min, blood pressure of 110/90 mmHg, and SPO2 of 98%.
In physical examination, the conjunctiva was pale and lung auscultation was clear. Based on the history and symptoms of the patient, PCR tests for COVID-19 and influenza were taken which were positive simultaneously. The patient has been treated with oseltamivir 75mg PO every 12 hours for five days and remdesivir 200mg STAT and 100mg daily through IV-line for three days. The patient was discharged with good general conditions and advised for outpatient follow-up. A week later, coughs and myalgia were completely recovered.
Results of laboratory tests of three patients are summarized below.