Step 2

Infectious Disease 2

A 65-year-old male with a liver transplant presents to the emergency department with fevers, chills, and 1 week of progressive dysuria with right flank pain. He is diagnosed with acute pyelonephritis and admitted to the hospital for further treatment. He is incidentally found to be COVID-19 positive on a pre-admission COVID screen. Upon further questioning, he also reports 3 days of sore throat after attending a family reunion last week and is not vaccinated against COVID-19. His oxygen saturation is 98% on room air and his lungs are clear to auscultation. His chest x-ray shows no infiltrates. It is currently January 2022.

Besides airborne precautions, what is the next best step in management?

  • A) Dexamethasone 6 mg IV Q daily
  • B) Regeneron monoclonal antibody Infusion
  • C) Remdesivir infusion
  • D) Full dosed therapeutic anticoagulation
  • E) Early treatment with Ivermectin


Dr. Raj Dasgupta


Dr. Raj Dasgupta

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