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Desperate Times for Pandemic Lead to... Ozone?
Case study in three patients with severe COVID-19 pneumonia
MedPage Today August 24, 2020
Three patients present to a hospital emergency department in Ibiza, Spain, with severe COVID-19 pneumonia and respiratory failure and are given an unproven -- and possibly dangerous -- treatment: oxygen-ozone (O2-O3) therapy -- also called ozonated autohemotherapy, which has been used to treat gout and involves intravenous infusion of ozonated autologous whole blood.
The FDA has called ozone "a toxic gas with no known useful medical application."Furthermore, in April 2020, a federal court entered a permanent injunction halting a purported "ozone therapy" center in Dallas from offering unproven treatments for COVID-19, after the company claimed that the treatments were able to "eradicate" the virus and were 95% effective in preventing the illness even for individuals who had tested positive.
As described in this case report, published on Aug. 17, 2020, of three patients in Spain, the clinicians drew 200 mL of autologous whole blood from the antecubital vein into a standard plastic disposable blood collection bag (certified SANO3 bag) with 35 mL of anticoagulant citrate dextrose solution. The team enriched the blood with 200 mL of gas mixture O2-O3 with an ozone concentration of 40 μg/mL obtained using an ozone generator with CE0120 certificate type IIb. This was followed by reinfusion of the ozonized blood using the same vein over approximately 10 minutes.
Patient 1
Patient 1, a 49-year-old man, body mass index (BMI) of 31, reported having 1 week of ongoing abdominal pain, and that over the course of the previous day he had increasing shortness of breath. Examination finds a soft abdomen with no distension.
Upon auscultation of his chest, clinicians noted bilateral crackles with reduced air entry and ordered a computed tomography (CT) scan of the chest and abdomen, which identified lung infiltrates in both lungs, compatible with COVID-19 pneumonia. Laboratory tests show elevated levels of:
Ferritin (1,609 ng/mL)
D-dimer (1,900 ng/dL)
C-reactive protein (CRP, 17.3 mg/dL)
Lactate dehydrogenase (LDH, 536 IU/L)
Clinicians took a nasopharyngeal swab; real-time polymerase chain reaction (RT-PCR) analysis identified the sample as positive for viral RNA, and the man is admitted to the intensive care unit (ICU). Over the following 24 hours, his condition improves and he is transferred to the general ward.
However, during the following day, the patient's oxygen levels declined, followed by respiratory distress, with a PaO2/FiO2 [partial pressure of arterial oxygen/percentage of inspired oxygen] ratio of 235. Clinicians put the patient on a non-rebreather face mask with oxygen on FiO2 of 0.8, and noninvasive ventilation (NIV) is not required. An x-ray revealed diffuse bilateral infiltrates.
For the next 3 days, the patient received two sessions of ozone autohemotherapy daily q 12 hours. He had a rapid clinical response, as evidenced by a marked improvement in respiratory rate and an increased PaO2/FiO2 ratio, with decreased FiO2 to 0.31% (3 L) after 1 day. After 2 sessions of ozone therapy, the patient's ferritin levels dropped from over 2,000 to 246 ng/mL, and his D-dimer levels dropped from 1,900 to 323 ng/mL.
On day 4, the patient was discharged home.
 
 
Patient 2 
The second patient, a 61-year-old man, BMI of 29, presented a week after developing a persistent fever of over 39°C. He reported having long-standing hypertension and becoming progressively short of breath over the previous 2 days. Chest auscultation showed crackles with reduced air entry over the right hemithorax. CT of the chest–abdomen revealed right upper infiltrates suggestive of COVID-19 pneumonia. Baseline PaO2/FiO2 was 253.
Laboratory tests showed high levels of:
Ferritin (2,200 ng/mL)
D-dimer (3,660 ng/mL)
CRP (10 mg/dL)
LDH (816 IU/L)
The patient remained in the general ward, where he received oxygen at an FiO2 of 0.6 via face mask, and he did not require NIV.
For the following 2 days, he received two sessions of ozone autohemotherapy over a period of 24 hours. On day 3, clinicians noted a decline in the FiO2 of 0.31% (3 L) with improved PaO2 to 90 mmHg, and decreased levels of laboratory markers.

The patient was discharged home on day 3 after a total of four sessions of O2-O3therapy. Post-discharge, clinicians reported that the patient's LDH levels dropped from 816 U/L at baseline to 469 U/L by day 6 after the start of ozone therapy. Likewise, his CRP levels began falling progressively after initiation of ozone therapy, from 10 mg/dL at the time of presentation to approximately 4 mg/dL on day 3 and about 0 mg/dL on day 21.
 
Eat local foods to regulate blood pressure and reduce diabetes risk
University of Turin (Italy), August 26, 2020
 
In a recent pilot trial, researchers from the University of Turin in Italy and the Graduate Inst

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