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Prashanth Hospitals Triumphs in Complex Critical Care HIV Case

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Chennai:  Leading Super-Specialty Hospital – Prashanth Hospitals has achieved a medical milestone by successfully treating a 33-year-old HIV male patient from Nellore. The patient had faced severe respiratory issues and a multitude of life-threatening complications, ultimately recovering under the expert medical team, highlighting the significant strength of modern critical care that the hospital offers.

The 33-year-old male who initially sought medical attention in May at a local clinic in Nellore for respiratory issues, was later admitted to a hospital in the region due to worsening of the symptoms. With his condition unexpectedly deteriorating he was referred to Prashanth Hospitals in June, which marked the beginning of a challenging medical journey characterized by progressive respiratory distress.

Initial evaluations conducted revealed critical oxygen requirements, leading to the implementation of Non-invasive ventilation and High Flow Nasal Cannula (HFNC) support. A provisional diagnosis of acute respiratory distress syndrome secondary to a suspected lung pathogen was made. CT chest scans exposed widespread lung abnormalities, requiring urgent attention, leading to his transfer to the Medical Intensive Care Unit (MICU). Extensive diagnostic efforts, including blood and urine cultures was aimed to identify the causative pathogen. Amidst these efforts, Burkholderia Cepacia complex was detected in a blood culture which underscored the intricate balance between diagnostic exploration and immediate therapeutic interventions. By June, the patient’s condition took a notable downturn, necessitating intubation and mechanical ventilation. Inotropic support was introduced to address hypotension. Hypoxia, despite mechanical ventilation prompted prone ventilation and discussions regarding the possible need for ECMO. Eight prone ventilation cycles showcased the team’s commitment to optimizing respiratory function.

Diagnostic revelations unveiled a complex medical picture, including Advanced HIV with severely low CD4 counts, cytomegalovirus (CMV), Pneumocystis jirovecii, Herpes zoster, pseudomonas, Klebsiella bacteria, deep vein thrombosis (DVT), and critical illness polyneuropathy. These complications required meticulous monitoring and tailored interventions, including tracheostomy, Bronchoscopy, high-end combination antibiotics, and blood transfusions. In the face of this intricate medical landscape, the healthcare team’s dedication and expertise have been pivotal. From the patient’s initial admission for fever and cough to the myriad phases of treatment, complications, and challenges, this journey has been one of multidisciplinary collaboration, adaptability, and perseverance. As of August 14, 2023, the patient’s transition to home care signifies the culmination of combined efforts. The ongoing chapters of his recovery will be guided by vigilance, ongoing medical support, and a comprehensive approach, ensuring his eventual recuperation.

Dr. Ajith Kumar, Critical Care Specialist at Prashanth Hospitals, highlighted the uniqueness and complexity of such cases, stating, “Cases of this nature are exceptionally rare and we had to employ a multi-disciplinary approach involving drug treatments, ECMO, high-end antibiotics, and several other treatments to address the patient’s condition. Managing complications such as polyneuropathy required meticulous planning and continuous monitoring to balance compromised immunity with robust antibiotic regimens. It was the collaborated efforts put together by our skilled team to ensure this breakthrough achievement unfolded successfully at every stage of the treatment.”

Dr. G. Prashanth Krishna, Managing Director of Prashanth Hospitals, Chennai, commended the medical team’s dedication, stating, “I congratulate our proficient team of doctors for achieving this medical breakthrough. As a leading super-speciality healthcare group, we specialize in managing complex procedures with a multi-disciplinary approach, incorporating state-of-the-art technology. We will continue our strong commitment to offer timely diagnosis and appropriate quality medical interventions, which have proven to be critical factors for Prashanth Hospitals to continue its successful streak in saving lives.”

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