Let me be clear about the pathophysiology of COVID 19 ( SARS C0V-2) and its interaction with the immune system. WE DO NOT KNOW. There are gaping holes in our knowledge. There are different courses that patients take. All in all, in a young healthy individual the disease could be benign and self limited. I have had some surprises in this kind of patient. The risk factor for progression are dominated by age and some comorbidities, especially cardiovascular disease, obesity, asthma and diabetes.
There has been some research and headway with anti viral and immunotherapy. There are conflicting reports that have been published. I have seen intravenous vitamin C and IV gluthathione as well as low dose naltrexone to be of benefit .
The question is why do young and healthy individuals succumb to COVID 19? We do not have the complete answers. Why does the third phase of the disease as multisystem dysfunction, coagulopathy and shock happen. This phase has been called a ‘cytokine storm” Why does this happen. I have seen these patients quickly succumb to death. More studies need to undertaken and more studies with immunotherapy treatments needs to take place
Until tomorrow…