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15 August 2020: Articles

A 57-Year-Old African American Man with Severe COVID-19 Pneumonia Who Responded to Supportive Photobiomodulation Therapy (PBMT): First Use of PBMT in COVID-19

Unusual or unexpected effect of treatment

Scott A. Sigman A* , Soheila Mokmeli A , Monica Monici A , Mariana A. Vetrici B

DOI: 10.12659/AJCR.926779

Am J Case Rep 2020; 21:e926779

Table 2. Evaluation criteria before and after photobiomodulation therapy in a COVID-19 patient.

ParametersBefore treatmentAfter treatmentNormal range or evaluation criteria
PSIClass V (142)Class II (67)Risk Class (Points): DispositionClass I (130): Inpatient
SMART-COP520 points: Very low risk of needing IRVS1 point: Low risk (1 in 20) of needing IRVS2 points: Moderate risk (1 in 10) of needing IRVS3 points: High risk (1 in 6) of needing IRVS≥4 points: High risk (1 in 3) of needing IRVS; Consider ICU admission
Brescia-COVID400 – monitor1 – add O and monitor2 – CXR, ABG, O therapy, monitor>2 – HFNC and reassess. If still >2, intubate.
CAP total36.6882.82Calculated based on (CAP) score questionnaire: 75–100%
CAP respiratory67.5287.1775–100%
CAP well-being0.073.0775–100%
RALE85Lungs score dependent on extent of involvement based on consolidation or ground-glass opacities for each lung, total score is the sum of the score of the lungs: 0 – no involvement; 1 – 75% of lung involved.
CRP15.11.233 mg/mL
O Requirement2–3 L/min1 L/min0 L/min
PSI – Pneumonia Severity Index; SMART-COP – Systolic blood pressure, Multilobar infiltrates, Albumin, Respiratory rate, Tachycardia, Confusion, Oxygen, and pH; CAP – Community-Acquired Pneumonia; RALE – Radiographic Assessment of Lung Edema; SpO – Oxygen saturation; WBC – White Blood Cells; CRP – C-Reactive Protein; IRVS – Intensive Respiratory or Vasopressor Support; CXR – Chest x-ray; ABG – Arterial Blood Gas; HFNC – High-Flow Nasal Cannula.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923