Corona patients die within the fastest time why ?

 One thing is noticeable. Many corona patients die within the fastest time after being diagnosed with the disease. The patient came to you with abdominal pain, you let him do an abdominal X-ray. X-rays showed pneumonia-like spots on the chest.

You let him test the corona as soon as possible - it turned out to be positive. In the afternoon or the next morning the news came that the patient had died.

Two days ago, a patient was admitted to the surgery ward. The sister coughed the patient while she was cannula. Until then no one knew he had a cough problem. Suspected corona was tested. That too came positive. The patient was sent to Covid Hospital. But he died before he could get there.

Why are deaths happening so fast? Which again cannot be fully explained by X-ray or CT-scan pneumonia. Some people experience severe shortness of breath very quickly due to lack of oxygen which is again incompatible with chest X-ray or CT-scan. So what is happening in the body of patients?

It is now clear that pneumonia or ARDS (Acute Respiratory Distress Syndrome) alone cannot explain these sudden deaths with respiratory failure, there are more varied causes of sudden death.

The corona itself is a hypercoagulable state, meaning that it causes blood clots to form in the blood vessels. On that day in this Dhaka city, one coroner was suffering from pneumonia on the one hand and brain stroke on the other at the same time. The pneumonia was not very severe but he died suddenly. According to the CT-scan of his chest and the level of shortness of breath Death was not expected so quickly. What happened was that he had a stroke with a blood clot in his brain and a blood clot in his lungs. Pulmonary embolism (PE) is the medical term for blockage of blood vessels in the lungs. There is no other killer like this Pulmonary embolism to cause sudden and mysterious death. 

Not just the lungs or the brain, it can block any blood vessel in the body, including the hands. However, even if it does not cause sudden death, the frozen area becomes dark or gangrene. 

Therefore, giving heparin in selected cases in standard treatment has become part of routine practice. Another cause of sudden death that is still invisible is the corona but can also cause severe heart attacks. It is seen that there is no problem in the lungs but the patient has sudden shortness of breath and sudden decrease in blood pressure. BNP (Brain Natriuretic Peptide) level was much higher. Evidence from the Echo test showed that his heart rate, which was supposed to be 75%, dropped to 20, 25, 30 percent.Has arrived. Patients with coronary heart failure (myocarditis) may die suddenly. Or a sudden arrhythmia of that diseased heart can cause sudden death of the patient. Patients who do not seem to be so serious are suddenly disappearing due to these reasons. If one survives due to the Tukhor medical procedure, it is seen that the heart's ability has returned to its previous position. The virus is directly attacking the heart or a remote called cytokine Weakening the heart through control will become apparent over time. People who already have heart problems are at higher risk of developing heart disease. 

Corona can affect the liver and kidneys equally, even if they do not die quickly. Half of the corona patients admitted to American hospitals are found in urine, blood or protein, which is visual evidence of kidney infection. One-fourth of the patients admitted to the hospital are suffering from kidney failure and are undergoing dialysis. There is a shortage of dialysis technicians in places like New York. A case from China: The patient came with yellow urine and jaundice. All hepatitis virus tests are negative. Fever comes after two days. Corona test showed that it was positive.

That is, corona is not a cold-cough, it is not a disease of any particular organ. Lungs, Hearts, Brains, Kidneys, Liver, Digestive System. It is as if he wants to fly the flag of victory towards every part of the body like the outer world

Dr. Aminul Islam
Medicine and thoracic specialist

BSMMU