A case report on Severe Acute Respiratory Infection

Introduction: Severe Acute Respiratory Syndrome is a zootoxic viral respiratory illness caused by the severe acute respiratory syndrome corona virus (SARS-CoV or SARS-The syndrome was the cause of the Severe Acute Respiratory Syndrome outbreak in 2002–2004. The virus was traced back to cave-dwelling horseshoe bats via Asian palm civets in late 2017 by Chinese scientists in Xizang Yi Ethnic Township, Yunnan. SARS was a rare illness; there were 8,422 cases at the end of the pandemic in June 2003, with an 11 percent case fatality rate (CFR) (CoV-1), the initial strain of the SARS corona virus species (SARSr-CoV). Clinical Finding: Swelling over Right. Half of face, Breathlessness. Diagnostic Evaluation: Blood test: Hb – 9.2gm%, Total RBC count3.22 millions/cu.mm, HCT26.6%, Total WBC count – 6600/cu.mm, Monocytes-02%, granulocytes-85%, lymphocytes-10000 /mcl. HRCT Scan OF Thorax: Multiple ill defined patchy ground glass opacities with consolidation and sepal thickening in bilateral lungs filled s/o infective etiology possibility of atypical viral pneumonia. View of covid positive PCR test; imagine grading corad-6 with CT severity score – 03\25 (Mild). Therapeutic Intervention: Inj.Amphotericin-B 500mg IV, Inj.Piptaz 4.4gm IV x TDS, Inj.levoflox 500 mg x OD, Inj.Clindamycin 300mg x BD, Inj.pantaprazol 40 mg x OD, Inj.Emset 4mg x TDS, Tab. limcee 500 mg x BD. Outcome: After Treatment, the patient shows improvement. His swelling over face decrease, and breathlessness decrease. Case Study Bawane et al.; JPRI, 33(57B): 206-210, 2021; Article no.JPRI.76720 207 Conclusion: My patient was admitted in SARI-HDU, AVBRH with complaint of swelling over face Right side, and breathlessness. After getting appropriate treatment his condition was improved.


INTRODUCTION
The severe acute respiratory syndrome corona virus (SARS-CoV or SARS-CoV-1) is a zoonotic viral respiratory illness caused by the severe acute respiratory syndrome corona virus (SARS-CoV or SARS-CoV-1), the first known strain of the SARS corona virus species (SARSr-CoV).The first corona virus strain linked to SARS was found (SARSr-CoV). The syndrome was the cause of the SARS outbreak in 2002-2004. The virus was traced back to cave-dwelling horseshoe bats via Asian palm civets in late 2017 by Chinese scientists in Xizang Yi Ethnic Township, Yunnan [1]. Severe Acute Respiratory Syndrome was a very rare disease; there were 8,422 cases at the end of the pandemic in June 2003, with an 11 percent case fatality rate (CFR) [2]. Since 2004, there have been no confirmed cases of SARS-CoV-1 anywhere on the planet [3]. In December 2019, SARS-CoV 2 (severe acute respiratory syndrome corona virus 2) was found as a new SARS-CoV strain. In humans, SARS-CoV-1 appears to have a complex history of recombination with ancestral corona viruses identified in a number of animal species. Recombination requires the presence of at least two SARS-CoV-1 genomes in the same host cell. During genome replication, recombination can occur when the RNA polymerase switches from one template to another.
(SARS-CoV-2) [11] The major route of transmission for SARS-CoV is mucosal membrane contact with respiratory droplets or fomites. Despite the fact that diarrhea is a common symptom of Severe Acute Respiratory Syndrome, the fecal-oral route does not appear to be a primary mode of transmission [ Family History: There are four members in the family. Type of marriage of the patient is nonconsanguineous marriage. All other members of the family were not having complaint in their health except for my patient who was being admitted in the hospital.
Past Intervention and Outcomes: patient takes treatment of covid-19 from MGIMS hospital .As problem of swelling and breathlessness increase he shifted to AVBRH for her treatment.
Clinical Finding: Swelling over Right half of face, Breathlessness.
Etiology: SARS symptoms include fever, muscular aches, fatigue, cough, sore throat, and other vague symptoms. The sole symptom that everyone has is a temperature above 38 degrees Celsius (100 degrees Fahrenheit). As a result of SARS, people may experience show Rightness of breath and pneumonia, which can be either direct viral pneumonia or secondary bacterial pneumonia.

Pharyngitis (inflammation of the throat)
Acute pharyngitis (inflammation of the).

DISCUSSION
On the 19 th May 2021, a30 year old male from Malegaon was brought to AVBRH SARI-HDU (medicine unit) with following symptoms: swelling over face at RIGHT. Side and breathlessness with the use of HRCT scan of thorax, It is determined that the patient has a Severe acute Respiratory Infection. As soon was taken to the hospital an inquiry was conducted and proper treatment began. Following therapy it is a critical to detect the condition at an early stage so that the patient does not develop more complications. It important to take preventive measure my patient show great improvement after getting the treatment and the treatment was still going on till my last day of care. nasopharyngeal swabs were collected and tested for a variety of respiratory viruses (including 18 common viruses). There were 397 SARI patients in all, with a median age of 68 years and 194 (48.9%) of them being men. At least one chronic medical problem was present in 278 (70.0%) of the patients. The most frequent symptoms were coughing (99.2%), followed by sputum production (88.4 percent). A ten-day stay in the hospital was the average. 250 infected patients (63.0%) tested positive for at least one pathogen, with 198 (49.9%) testing positive for just one pathogen and 52 (13.1%) testing positive for several infectionsM. pneumonia was found in the majority of cases (23.9 percent, 95/397), followed by adenovirus Like the common cold and influenza virus, Severe Acute Respiratory Infection is an airborne virus transmitted by small droplets of saliva. It was the first serious and easily transmissible new sickness to emerge in the twenty-first century, and it had the potential to spread over international air travel routes.
Touching surfaces that have been infected with the virus can also spread Severe Acute Respiratory Infection. The majority of patients of Severe Acute Respiratory Syndrome were previously healthy individuals in their late twenties to fifties. A few teenagers under the age of fifteen have been suspected of having Severe Acute Respiratory Syndrome. The case fatality rate for probable and suspected SARS infections according to the current WHO case definition is around 3%. Our findings highlight the need of long-term multipathogen monitoring among Severe Acute Respiratory Infection patients at sentinel hospitals, which can provide significant information concerning etiologies, epidemiology, and clinical characteristics of Severe Acute Respiratory Infection.

CONCLUSION
A male of age 30 year old from Malegaon was admitted to SARI-HDU, AVBRH on 19 th May 2021 with complaint of swelling over face on Right side and Breathlessness with the help of HRCT thorax it is diagnose as Severe Acute Respiratory Infection. As soon as he admitted in hospital investigation were done and appropriate treatment were started and after getting treatment, it is a very important to diagnose in early stage so that the patient will not develop complication from the disease. It important to take preventive measure. My patient shows great improvement after getting the treatment and the treatment was still going on till my last day of care.

DISCLAIMER
The products used for this research are commonly and predominantly use products in our area of research and country. There is absolutely no conflict of interest between the authors and producers of the products because we do not intend to use these products as an avenue for any litigation but for the advancement of knowledge. Also, the research was not funded by the producing company rather it was funded by personal effort of the authors.

CONSENT
As per international standard or university standard, patient's written consent has been collected and preserved by the author(s).

ETHICAL APPROVAL
As per international standard or university standard written ethical approval has been collected and preserved by the author(s