Viral pneumonia can be treated with anti-viral drugs and medication aimed at easing your symptoms. Treatment usually depends on the kind of symptoms you have. What are the routes through which infection can reach your lungs? Celia removes bacteria, viruses, fungi, and toxic materials out from your lungs. Your respiratory system has an “auto-cleaning mechanism.” Lungs consist of a small hair-like projection called “celia” that moves in outward direction in a sweeping motion. Viral pneumonia is a common complication of influenza-like illnesses and is a complication of SARS-COV-2. Your risk for viral pneumonia is greater if you are older than 65, or you have lung or heart disease. Vitals were recorded as follows: spO2 ?94%, Bp 126/76, HR 78 bpm, Temp 99.1?F. Prevention is a crucial step that must be followed. You can get pneumonia as a complication of viral infections such as COVID-19 or the flu, or even a common cold. After the notable reversal of symptoms soon after administration and the fact that the patient fully recovered from respiratory symptoms quickly and without any lung scarring, we believe that this Quercinex formula warrants further investigation for its potential benefits in symptom management for the current health crisis and potentially other viral lung infections as well. Noteworthy to reiterate is that symptom improvement was reported 30 minutes directly after each nebulizer treatment, further signifying Quercinex’s potential adjuvant benefits. If anyone touches these contaminated objects or surfaces, germs get transferred to them. Inhalation of a hefty dose of fungi present in the soil or in the birds infected droppings can make you ill. ❸ Viruses: Viruses, including COVID-19, are associated with multifocal Pneumonia. Viruses are generally not as common a cause of CAP as some bacteria. Recently a study was conducted on COVID-19 Patients with Multifocal Pneumonia. Sunita Aind an Author & blogger, inspired by health and living. Quercetin and N-acetylcysteine (NAC) are considered generally safe for human consumption, either as a food ingredient in the case of quercetin or as a medicine [3] [4] [5]. After each therapeutic nebulizer treatment, within 30 min of finishing the treatment, the patient reported that his breathing was much deeper and improved directly related to treatment. We report 3 cases of fulminant hemorrhagic pneumonia in previously health patients. Treatment of Multifocal Pneumonia include symptomatic management, supportive treatment and specific treatment to control viral or bacterial infection. Many people ask “Is multifocal Pneumonia contagious?” Can you get infected when contacting people with multifocal Pneumonia? No spam, notifications only about latest Health updates. It starts from nose followed by trachea, bronchi, bronchioles, which ends up with tiny air sacs called alveoli. Schettig, R. , Sears, T. , Klein, M. , Tan-Lim, R. , Matthias Jr., R. , Aussems, C. , Hummel, M. , Sears, R. , Poteet, Z. , Warren, D. , Oertle, J. and Prato, D. (2020) COVID-19 Patient with Multifocal Pneumonia and Respiratory Difficulty Resolved Quickly: Possible Antiviral and Anti-Inflammatory Benefits of Quercinex (Nebulized Quercetin-NAC) as Adjuvant. Side-by-side comparison of before and after chest x-rays following Quercinex protocol. Take plenty of fluids and rest. Double pneumonia is a condition in which pneumonia affects both lungs. At CT, HPIV pneumonia shows multifocal patchy consolidation with GGO that hinders differentiation of viral from bacterial pneumonia, and approximately one-fourth of patients show centrilobular nodules with bronchial wall thickening . In human studies, no adverse effects on blood parameters of liver and kidney function, hematology, or serum electrolytes were found in doses up to 1000 mg/day for several months [20]. Other risk factors include smoking, taking steroids, and hospitalization. The secreted fluid consists of protein and pus cells causing congestion of the lungs. Viral pneumonia, characterized by multifocal ground-glass opacities or multifocal consolidations, was interpreted as aspiration pneumonia or bacterial pneumonia in 15/16 (94%) of the original CT reports. In cell cultures, quercetin has been shown by research to impede viral replication and reduce the infectivity of viruses, possibly through the mechanism of binding to viral capsid proteins, induction of interferon, or inhibition of DNA gyrase and DNA proteases [11]. He leads us to believe that for doses used in this protocol, the potential for complications is extremely low, and no further complications are anticipated. He was prescribed and began the Envita Medical Center COVID-19 adjuvant protocol, Quercinex. Multifocal Pneumonia is a condition which is characterized by the infection, inflammation, and congestion of multiple areas of the lungs. He was asked to continue azithromycin 500 mg and Hydroxychloroquine 200 mg twice a day. Most of the patients had multifocal (89.1%) and bilateral (86.4%) lesions. Quercinex was prescribed by Envita’s doctors (via 503A compounded pharmacy prescriptions) as an adjuvant to the current standard of care recommendations for COVID-19. The inexpensiveness and ease of production of both quercetin and NAC lends itself to potential widescale distribution if the formula is found to be effective in other large-scale studies. • Identify the most common features of pulmonary viral infections at thin-section CT. 3. All symptoms appear to be entirely resolved, and the patient has resumed his cardiovascular exercise with no complaints. We thank all Envita doctors, researcher, chemist and pharmacist and most of all our patient for granting us permission to publish this work and share this information. Managing symptoms of upper respiratory viral infections early is critical, both for patient outcomes and sparing healthcare resources for sicker patients. Every day we get exposed to various toxic elements and infections, including bacteria, viruses, and fungi. We are publishing this case study now to illuminate the effect the combined formula has had on a confirmed case of COVID-19. The protocol was associated with a self-reported significant improvement in breathing, and this improvement was noticeable after each subsequent nebulization treatment. Discharge vitals: spO2-95%, Bp 109/64, HR 74 bpm, Temp. In the case of the patient mentioned in this study, the decision was made to administer treatment at home because of ease of use and conscious decision not to expose any of our high-risk cancer and chronic disease patients to possible COVID-19 contagion in clinic. Alveolar air sacs gets filled with secreted fluids. Atypical pneumonia makes up a significant proportion of community-acquired pneumonia. Viral respiratory tract infection is a broad term given to pulmonary infection caused by viruses. This stage is also called the “avascular stage” as the blood supply to alveoli gets decreased. Viral pneumonia is most often caused by one of several viruses: Macrophages and phagocytes enter into the alveolar spaces and destroy the bacteria. • Describe the role of thin-section thoracic CT in the diagnosis viral pneumonia. Antibiotics are not effective in treating viruses. Also, studies have suggested that azithromycin can increase the risk of cardiovascular death [2]. Over-the-counter medications can be used for pain and fever. Treatment includes antibiotics, antiviral drugs, and hydroxyl-chloroquine. It can become life-threatening. The pulmonary alveoli fill with fluid or pus making it difficult to breathe. Potential adverse reactions from quercetin include tingling of extremities and headache for oral use; and flushing, sweating, nausea, vomiting, and injection site pain after infusion for IV [12]. Introduction. First-line antibiotics include azithromycin, clarithromycin, and doxycycline. But there are certain risk factors which increases your chance of getting this illness. Secretion contains blood cells such as neutrophil, lymphocytes, fibers, and proteins. Quercetin (20 mg/mL), NAC (100 mg/mL) formula. Other supportive measures are used if indicated, such as oxygen and IV fluids. ***Provide enough needles, syringes, and alcohol swabs for a 14-day supply. If you experience the symptoms listed below, then be cautious you might be suffering from pneumonia. "Multifocal" pneumonia means that the infection is not just affecting one part of the lung but multiple sections. Cyclodextrins have been well studied and shown to increase the solubility of poorly soluble drugs as well as to increase their stability and bioavailability [19]. 2. When the infective organism reaches your lower respiratory tract i.e., lungs and alveoli, you may develop multifocal pneumonia. The main types of pneumonia are bacterial, viral, and mycoplasma pneumonia. Both hydroxychloroquine and quercetin utilize zinc as a possible mechanism of action against viral invasion. The patient was discharged from the hospital 3/26/20 and given home quarantine instructions as per CDC guidelines. The treatment is directly administered to the lungs where the ACE2 receptors on Type II pneumocytes are located and the Coronavirus spike proteins favor infiltration, invasion and, replication within the respiratory system [21]. Medicines for viral Pneumonia include: oseltamivir, zanamivir, peramivir, and ribavirin. Take rest and drink plenty of fluids, learn breathing exercises, and take healthy diets. It usually begins with mild cold or flu and primarily affects children aging less than 5 years of age. However, preci… Also visit to the infographic section of our blog... Multifocal Pneumonia is a severe problem that you cannot ignore. It reduces up to 50-90% chances of getting infected. Quercinex is a nebulizer treatment consisting of a formula with quercetin and NAC as its active ingredients. Creative Commons Attribution 4.0 International License. It is classified into various types according to the sites and lobes affected. Envita Medical Center put together the Quercinex formula after many years of observing the effects of nebulized and intravenous quercetin and NAC separately. These air-droplets contains infective organism such as viruses or bacteria. Blood tests are used to confirm an infection and to try to identify the type of organism causing the infection. This case history is representative of the current clinical environment and the. Inflammation and congestion leads to inadequate gaseous exchange in the alveoli. Your doctor will start by asking about your medical history and doing a physical exam, including listening to your lungs with a stethoscope to check for abnormal bubbling or crackling sounds that suggest pneumonia.If pneumonia is suspected, your doctor may recommend the following tests: 1. It further causes fever, cough, and creates difficulty in breathing. Upon arrival at the nearest hospital, Honor Health Shea (Scottsdale, AZ), a full workup was performed, which included chest X-rays (Figure 1), COVID-19 screening, CBC with diff and platelets, and CMP. Also, the levels of zinc used in this protocol are not high enough to suspect copper deficiency [23]. … On behalf of all authors, Dino Prato NMD is founder and CEO of Envita Medical Centers and Developer of Quercinex formulation. It is most serious for infants and young children, people older than age 65, … Endovascular (inside the blood vessel) infection. In case of chronic disease, the differential diagnoses also include pulmonary alveolar proteinosis, inflammation, granuloma, or lipoid pneumonia [13] . Quercetin is the primary antiviral component of the patented Quercinex formula. Usually, tuberculosis spreads through this route. Postmortem analysis showed that the illnesses were caused by group A Streptococcus emm1/sequence type 28 strains. Viral pneumonia is a lung infection caused by a virus, such as influenza. This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License. Depending on the context, multifocal alveolar consolidation may also be found in radiation pneumonia or acute hypereosinophilic syndrome. He was seen under the care of an ID (infectious diseases) and prescribed 1 g Rocephin IV push, acetaminophen 650 mg tablet, azithromycin 500 mg oral once daily, and hydroxychloroquine 400 mg oral twice on day one and then 200 mg oral twice daily thereafter. COVID-19 Patient with Multifocal Pneumonia and Respiratory Difficulty Resolved Quickly: Possible Antiviral and Anti-Inflammatory Benefits of Quercinex (Nebulized Quercetin-NAC) as Adjuvant. Pneumonia has historically been characterized as either typical or atypical depending on the presenting symptoms and thus the presumed underlying organism. ❺ Chronic disease: Chronic lungs and heart diseases such as asthma, chronic obstructive pulmonary disease (COPD) makes you prone to develop Pneumonia. For better understanding, you should know  how does your respiratory system works? For prevention, wash your hands regularly, use a face mask, stop sharing your personal objects, and prefer to immunize yourself. Cough, sneezes, or exhalation by an infected person can release a burst of micro air-droplets (aerosol) in the environment. Its severity ranges from mild with minimal symptoms to severe life-threatening conditions. Blood tests. It can develop from flu or another infection that affects the lungs. Treatment for pneumonia depends on the type of pneumonia you have, how sick you are feeling, your age, and whether you have other health conditions. Chlamydophila pneumoniae (Chlamydia pneumonia) is the causative organism in up to 10% of community-acquired pneumonia, and similarly to … Mycoplasma pneumoniae (see mycoplasma pneumonia) is the causative organism in up to 20% of community acquired pneumonia and is often seen in pediatric populations and young adults 3. Figure 4. • Describe the most common viral infections in immunocompetent and in immunocompromised patients. Coughing and sneezing: Produces small tiny droplets of fluids and dust that contain infectious organisms. COVID-19 is a viral pandemic that desperately needs effective clinical treatment to confront this global crisis. Learn about causes, risk factors, prevention, signs and symptoms, complications, diagnosis, and treatments for pneumonia, and how to participate in clinical trials. ❷ Smoking: Smoking slows down ciliary movements and natural defense mechanism against bacteria and viruses. 4. When these protective mechanism fails to control toxic agents, our lungs get infected and injured which is termed as Pneumonia. Forget the hassle and nurture your inbox with health and wellness advice that’s inclusive and rooted in medical expertise. The rapid clinical improvement in this case may suggest a helpful clinical adjuvant via nebulization if the treatment is performed in an open-air environment, conscious of the risk of corona virus spreading through nebulized particles. Pneumonia? Your email address will not be published. It progresses with different stages which is called “stages of pneumonia.”. Especially if when you are admitted to ICCU and on a mechanical breathing machine (ventilator). Later on, when they touch their face or nose, they get infected with these bacteria or viruses. It is an infection, inflammation, and congestion of tiny air sacs of lung called alveoli. Bacterial and Mycoplasma Pneumonia are treated with Antibiotics or Penicillin. 30 - 50 mg of any form of zinc once daily by mouth to prevent from Zinc deficiency. It is promising that the formula appears to be effective and that the reported fast symptomatic relief is linked directly to nebulization of Quercinex. It occurs within the next 2-3 after the stage of Red Hepatisation. ❹ Weak immune system: People with organ transplants, receiving chemotherapy, taking steroids for a long term, or having HIV/AIDS have low immunity. Use Contact Precautions for a minimum of 48 hours after the resolution of symptoms or to control institutional outbreaks. Surface contamination: Germs can stay alive over the objects and surfaces. 2. Other medicines include levofloxacin and amoxicillin. For treatment and its prevention, it is essential to know about its causative factors. Symptoms include chest pain, breathing difficulty, fever, and severe cough. After finishing the protocol, the patient has not reported any sensation of shortness of breath since. and the patient was diagnosed with multifocal pneumonia. The prescription was prepared by a 503A custom compounding pharmacy that has extensive experience with this formula. No adverse event was reported, but the patient stated that he had increased expectorant of mucus and sneezing after the first two treatments. Endocarditis (infection of the inner wall of the heart), 3. But Celia stops working due to certain diseases and cigarette smoking. Breathing (aspiration) of infected fluids and foreign objects may cause pneumonia. Infection can spread to the lungs from infected surrounding areas such as the heart, lymph nodes, etc. Intubation and mechanical breathing (ventilator). Despite these precautions, peer-reviewed literature considers quercetin to be generally well-tolerated [12]. ***. Hi! It is important to note that the patient did not commonly have a medical history of asthma, pneumonia, Chronic obstructive pulmonary disease (COPD), or any other pulmonary conditions. It is one of the most common way by which you can get an infection. Now, the consolidated lungs tissue gets re-aerated and produces frothy sputum. Viruses, including COVID-19, are the primary cause of Multifocal Pneumonia. Alveoli gets filled with the fibrinous exudates. The shortness of breath and drowning sensation greatly improved within 30 min of each treatment, and the recovery would last for three or more hours; we consider this to be a notable and beneficial response. Sig: Nebulize 1 mL Quercetin (200 mg/mL) and 1 mL NAC (100 mg/mL) to be combined in a nebulizer reservoir and breathing treatment done in full mask nebulization three times per day. A total of 480,401 deaths due to COVID-19 was reported by WHO till present we are writing this article. 2. A copy of the written consent is available for review by the Editor of this journal. Take over-the-counter drugs for pain and fever such as paracetamol or aspirin. ❶ Bacteria: It is the most common causative factor behind the multifocal Pneumonia. Waning cellular, humoral, and innate immune functioning may impair viral clearance, which allows spread of the virus to the lower respiratory tract resulting in increased inflammation. Regular Washing and Cleaning: Wash your hands with soap (any soap will do) regularly—practice washing hands before and after touching your nose and mouth. All other possible side effects are considered mild. It can be community-acquired, hospital-acquired, or aspiration Pneumonia. Mark, in Diagnostic Pathology of Infectious Disease (Second Edition), 2018. The patient was admitted to a full contact and droplet isolation room. At home, he explained that he felt as though he was only able to use about 60% of his breathing capacity and difficulty taking deep breaths. An excessive amount of exudates create pressure and causes compression of tiny blood vessels surrounding the alveoli. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing. 04/24/2020 Post Quercinex Treatment Follow up Imaging—Clear lung fields bilaterally, no effusions, normal heart size, and no skeletal abnormalities. Pneumonia is an infection that inflames the air sacs in one or both lungs. They were treated with Hydroxy-chloroquine which showed good improvement in their health condition. To date, Envita Medical Center has also conducted over 600 nebulized Quercinex treatments safely. Viral Pneumonia do not respond to antibiotics. Several other diseases can present with similar signs and symptoms to Multifocal Pneumonia. ❝Usually, Pneumonia affects limited parts of your lungs. Pneumonia is an infection of one or both of the lungs caused by bacteria, viruses, or fungi. Viral pneumonia is a pneumonia caused by a virus. Quercetin also has a dietary monograph and is in category 1 of FDA guidance to 503A compounders [3]. The nebulized mist of the Quercinex potentially blocks the invasion of the virus with a non-toxic and safe adjuvant antiviral therapy directly to the respiratory tissue under attack, and for this reason we feel it to be clinically relevant for care during this crisis, and more importantly, for future research. The most common location, right lower lobe, was affected in 87.8% of the patients. Pneumonia is a bacterial, viral, or fungal infection of the lungs that causes the air sacs, or alveoli, of the lungs to fill up with fluid or pus. Direct infection from the adjacent lung area. What Is the Difference Between Multifocal Pneumonia Vs. Courier to home for drop off: 1 nebulizer, 4 vial Quercetin 20 mg/mL, 1 vial NAC 100 mg/mL. Alveolar capillaries or tiny blood vessels gets swollen due to excessive blood. Accreditation and Designation Statement The RSNA is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical educati… The non-toxic, inexpensive and safe nature of the agent warrants its consideration as adjuvant treatment for COVID-19 respiratory symptoms. An aerosol of <5-micron size may hold up to 100 microorganisms, which is enough to make you ill. Community-acquired pneumonia commonly spreads through this route. Methods: A multidisciplinary panel conducted pragmatic systematic reviews of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical … Sometimes these micro-organism gets dominated over our immune system, which further develops Pneumonia. 03/26/2020 Unresolved patchy opacities in the periphery of both lungs, multifocal pneumonia persists after leaving the hospital. Our website services, content, and products are for informational purposes only. Air-droplets and dust with size less than 0.5 microns can reach your small airways and alveoli. The final stage is marked by the restoration of pulmonary architecture. Quercetin has been compounded for IV use and nebulized for the adjunctive treatment of cancer patients at Envita Medical Center. Alveoli are surrounded by small blood vessels called “capillaries” where the exchange of gases takes place. Also, quercetin has anti-inflammatory properties that could be relevant in preventing the type of lung scarring seen in severe COVID-19 infections [9]. Wash your hands and apply the mask over face. The patient was positive for COVID-19, which was the attributed cause of the bilateral, multifocal pneumonia. The symptoms of COVID-19 pneumonia may be similar to other types of viral pneumonia.Because of this, it can be difficult to tell what’s causing your condition without being tested for … The patient completed a hospital prescribed protocol of Azithromycin and Hydroxychloroquine while undergoing. Potential complications from this Quercinex protocol include copper deficiency via zinc supplementation [22] [23], and safety precautions involving patients with liver dysfunction and renal impairment from quercetin [12]. These medications help to limit the spread of viruses in your body. He reported that his symptoms progressively worsened over time, and on 03/23/2020 began to experience shortness of breath and increased fatigue. Infection and severity of the Multifocal pneumonia depends upon the interaction between the following two factors: ❶ Host Factor: Weak Immunity, loss of protective mechanism, and loss of ciliary movement, ❷ Pathogen Factor: High exposure of highly infective (virulence) pathogens. Sociodemographic and clinical characteristics of the patient can be viewed in (Table 1). Bacteria and viruses are the main causative factors behind multifocal Pneumonia. Primary symptoms include chest pain, cough, breathing difficulty, fever, and chills. Younger children, old age people, and people with weak immunity are quickly get infected. Multifocal Pneumonia is defined as the " Inflammation in multiple areas of one or both of the lungs, caused by bacterial or viral infection, in which the air sacs gets filled with the pus and becomes solid." The patient began to stabilize (the patient reported that he experienced an improvement in the hospital but maintained a sensation of drowning when breathing and continued shortness of breath). Copyright © 2006-2021 Scientific Research Publishing Inc. All Rights Reserved. HAP occurs 48 hours or more after being admitted to the hospital. This condition includes chronic obstructive pulmonary disease (COPD), asthma, bronchiectasis, lung cancer, and severe pulmonary emboli. You can get a viral infection by breathing in the virus or by touching something that has the virus on it. It further raised new queries among many of our readers. Primary symptoms are breathing difficulty, chest pain, cough, and fever. It is caused either by bacterial or viral organisms which can be spread in a number of ways through the following routes: 1. Various micro-organisms such as bacteria, viruses, and fungi can cause multifocal Pneumonia. Research studies have observed quercetin to demonstrate activity against herpes simplex virus, polio, respiratory syncytial virus, parainfluenza, MERS, and certain other retroviruses [11]. 3. Background: SARS-CoV-2 (COVID-19) is a viral pandemic with no current vaccine or effective treatment. About 200 million cases of viral community-acquired pneumonia occur every year—100 million in children and 100 million in adults. Envita Medical Center has many years of experience using both Quercetin and NAC separately. During illness, you should also follow few advises that will help to recover fast. 1. Bacterial, viral, and fungal infections are the primary causes of Multifocal Pneumonia. Richard L. Kradin, Eugene J. But in a few cases, it becomes severe and life-threatening. Symptoms include chest pain, cough, breathing difficulty, and fever. When you get a pneumonia diagnosis, your doctor will work with you to develop a treatment plan. The patient appeared to recover rapidly from respiratory symptoms (difficult/painful breathing, drowning sensation, shards of glass sensation in the lungs while breathing, shortness of breath, tightness in the lungs and restricted breathing) within the first two treatments. 54 The causative gram-positive cocci are easily identified (Fig. Children, old age group people, and people with weakened immunity are the primary target for severe illness. Finally, either it resolves or ends up with adhesion (sticking together) of the pleural membrane. Bacteria, virus, and fungi are the leading causative agent behind it. In this case study, we have seen an unusual and unexpected benefit from the patient infected with COVID-19. With IV infusions > 945 mg/m2 Nephrotoxicity can occur [12]. Suddenly, a question arises in our mind, “What are the different stages of pneumonia?” Let’s get the answer. Reported side effects from NAC include diarrhea, nausea, vomiting and rash with or without fever [18]. This is because their bodies have a harder time fighting off the virus than people with a strong immune system. He was referred immediately to the emergency department for imaging, evaluation, and COVID-19 screening. Some examples such as Coronavirus 2019 (COVID-19) may cause severe life-threatening multifocal Pneumonia. 03/26/2020 on Left, 04/24/2020 on Right. The lungs resemble with the liver in texture and gets filled with excess amount  blood which is called hyperaemia. The microorganism can reach your lungs by the following routes: 4. The symptoms rapidly decreased until most of the breathing problems had been greatly resolved within the first 48 hours after beginning the Quercinex protocol. The chest X-ray (Figure 1) reveled patchy opacities in the periphery of both lungs. DP and JO have full access to all the patient’s records and data for these case histories and accept full responsibility for the integrity and accuracy of the data as presented. Discharge X-rays (Figure 2) showed continued evidence of patchy opacities in the periphery of both lungs and the persistence of multifocal pneumonia. These small droplets spread into the air, which other people breaths in. NAC is an FDA approved agent used for the treatment of acetaminophen overdose and to loosen thick mucus in individuals with cystic fibrosis or chronic obstructive pulmonary disease [4] [5] [13]. Along with antiviral action [6] [7], peer-reviewed research has identified potential anti-inflammatory [8] [9] and antioxidant actions [10] as well. It can be taken intravenously, by mouth, or inhaled as a mist [13]. These aerosols may remain suspended in the air for hours. Features of pulmonary viral infections early is critical, both for patient outcomes and healthcare... Once daily by mouth, or parasites your respiratory system causative gram-positive cocci are easily identified Fig... Taking steroids, and the viral infection spreads through this route get exposed to various toxic elements and.... Germs get transferred to them severe illness specific treatment to control viral bacterial! Has had on a mechanical breathing machine ( ventilator ) dysfunction [ 12 ] toxic... Age: children less than < 2 years of experience using both quercetin and NAC have been nebulized and! All authors, Dino Prato NMD is founder and CEO of Envita Medical has. Radiation pneumonia or acute hypereosinophilic syndrome of 480,401 deaths due to excessive.... Nac separately of these micro-organisms right lower lobe, was affected in 87.8 % of the protects! Is in category 1 of FDA guidance to 503A compounders [ 3 ] that affects the lungs that,. Are expensive and unavailable to many 1 of FDA guidance to 503A compounders [ 3 ] cocci are identified! Present we are Publishing this case history is representative of the pleural and! 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