Sudden cardiac death in a case of Crohn's disease with COVID-19: A case report

作     者：Neeraj Kumar Subhajit Ghosh Abhyuday Kumar Sanjeev Kumar Prem Kumar Neeraj Kumar;Subhajit Ghosh;Abhyuday Kumar;Sanjeev Kumar;Prem Kumar

作者机构：Departments of Trauma&EmergencyAll India Institute of Medical SciencesPatnaIndia Departments of AnaesthesiologyAll India Institute of Medical SciencesPatnaIndia Departments of CTVSAll India Institute of Medical SciencesPatnaIndia Departments of RadiologyAll India Institute of Medical SciencesPatnaIndia 

出 版 物：《Journal of Acute Disease》 (急性病杂志（英文版）)

年 卷 期：2022年第11卷第3期

页      面：123-126页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：COVID-19 Sudden cardiac death Chron’s disease 

摘      要：Rationale:The mechanism of sudden cardiac death in COVID-19 can be *** hypersensitivity to 5-ASA therapy leading to myocarditis has been reported in some *** storm syndrome and idiosyncratic reaction with mesalazine use may lead to sudden cardiac death in *** of immunosuppressants in hospitalized COVID-19 patients should be continued with caution,especially in patients with inflammatory bowel ***’s concern:A 75-year-old man who was tested positive for SARS-CoV-2 was admitted with a history of shortness of breath for the last two *** was a known case of Crohn’s disease treated with ***:COVID-19 pneumonia with underlying Crohn’s disease leading to sudden cardiac ***:Remdesivir,antibiotics,steroids,low molecular weight heparin,tablet zinc,tab vitamin C,and other supportive treatment were *** of increased inflammatory markers,itolizumab was given to the patient on the 2nd ***:On the 5th day of the intensive care unit,the patient complained of sudden chest pain with respiratory distress leading to bradycardia and asystole and could not be ***:Causes for sudden cardiac death in COVID-19 pneumonia patients with Crohn’s disease is *** mesalazine may be a safe and effective drug in the management of inflammatory bowel disease,it can induce sytokine strom syndrome and idiosyncratic reactions that could be one of the reasons of sudden cardic ***,we should be aware of its serious and potentially life-threatening complications,especially in COVID-19 infected patients.