COVID-19
INACTIVE - Treatment of COVID-19

Daniel (48 years old)

You arranged a home visit for your 48-year-old patient Daniel, who is a lab technician and has no past medical history.

He presented with a one-week history of non-productive cough, fever and mild dyspnoea. An RT-PCR test was positive for SARS-CoV-2 on day 4 of symptom onset.
A routine blood test was done two days prior home visit and results reflected WBC 4.66×109/l, mild lymphopenia (0.98×109/l), AST 44 U/l (increased), ALT 27 U/l (in the normal range), C-reactive protein 77 mg/l (range 0.00-5.00 mg/dl), and LDH 233 U/l (range 0–247 U/l). A chest radiograph was also performed the same day as laboratory analysis and infiltrative shadows were observed in the right upper and left lower area with signs of initial consolidation.

Today the physical examination revealed:

  • Body temperature: 38.2 °C
  • Blood pressure: 110/72 mmHg
  • Pulse: 87 bpm
  • Respiratory rate: 20 breath/min
  • SpO2: 96% room air

The patient is taking vitamins and antipyretic but he is worried about elevated levels of C-reactive protein and has already managed to procure an antibiotic (azithromycin).

Which treatment should be prescribed to this patient?