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A 70-year-old man with hypertension and diabetes is admitted to the hospital with cough, shortness of breath, and fevers. The patient’s symptoms began 10 days earlier, when he noticed fatigue… Click to show full abstract
A 70-year-old man with hypertension and diabetes is admitted to the hospital with cough, shortness of breath, and fevers. The patient’s symptoms began 10 days earlier, when he noticed fatigue and subjective fevers. Over the past week, he developed a worsening dry cough and shortness of breath with minimal exertion. In the emergency department, he appears fatigued and is febrile with tachypnea and tachycardia. His oxygen saturation is 84% on room air and increases to 92% on 6-l nasal cannula. His labs are notable for lymphopenia, prerenal azotemia, and hyperglycemia. A nasopharyngeal RTPCR viral swab is positive for SARS-CoV-2. His chest Xray shows diffuse bilateral infiltrates. How should this patient be managed?
Journal Title: Journal of General Internal Medicine
Year Published: 2020
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