COVID-19 presentation as acute pancreatitis:A case report
作者机构：Department of AnaesthesiologyAIIMS PatnaBiharIndia801505 Departments of Trauma&EmergencyAIIMS PatnaBiharIndia801505
出 版 物：《Journal of Acute Disease》 (急性病杂志（英文版）)
年 卷 期：2022年第11卷第5期
页 面：199-201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：Pancreatitis COVID-19 APACHE II Remdesivir Fluid
摘 要：Rationale:The gastrointestinal manifestations of COVID-19 include anorexia,nausea,vomiting,abdominal pain,and ***,pancreatitis as the presentation of COVID-19 is rarely ***’s Concern:A 63-year-old COVID-19 patient presented with complaints of abdominal pain and difficulty breathing for 5 ***:Contrast-enhanced computed tomography of the abdomen suggested acute interstitial pancreatitis without any biliary tract ***:The patient was resuscitated with intravenous fluids based on dynamic parameters of fluid *** patient was started on enteral feeding,analgesics,antibiotics,dexamethasone,low molecular weight heparin,and supportive ***:The patient developed severe acute respiratory distress syndrome and died 6 days after ***:Management of COVID-19 in the presence of pancreatitis is *** early fluid resuscitation is an important aspect of medical management for COVID-19 patients with pancreatitis and restrictive strategies must be *** liver enzymes and renal dysfunction in acute pancreatitis can also limit the use of specific therapies like ***,even though it has shown a beneficial effect in treating COVID-19,can have an additive effect in causing hyperglycemia in these *** should be aware of this atypical presentation of COVID-19 with pancreatitis and adjust their management strategies,keeping in mind the considerations for both diseases.
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