رجل عمره ٧٠ سنة عنده انسداد رئوي مزمن، بدأت عنده حرارة ٣٨٫٨ وألم عضلات وكحة قبل يوم، وفحص الإنفلونزا السريع إيجابي. التشبع ٩٣٪، والتنفس ٢٢، ولم يأخذ لقاح الإنفلونزا هذا العام. ما المتوقع بخصوص مضاد الفيروسات؟

A 70-year-old man with COPD developed fever 38.8 °C, myalgia and cough a day ago, and a rapid influenza test is positive. SpO2 93%, RR 22; he has not had this year’s flu vaccine. What is expected regarding antiviral therapy?

1. Early oseltamivir because he is high risk
2. No treatment because influenza resolves alone
3. An antiviral only after a week has passed
4. A broad antibiotic instead of an antiviral

Answer: A) Early oseltamivir because he is high risk. Antivirals work best within 48 hours of onset and are given to older adults and those with chronic disease even later. Antibiotics do not treat the virus.