tetano
Editor, Senior Moderator
Cureus
. 2023 Jan 23;15(1):e34104.
doi: 10.7759/cureus.34104. eCollection 2023 Jan.
Acute Pancreatitis and Disseminated Intravascular Coagulopathy in COVID-19 Infection: A Case Report
Mohammad Abu-Abaa[SUP] 1 [/SUP], Ghassan Al-Qaysi[SUP] 1 [/SUP], Ali Abdulsahib[SUP] 2 [/SUP], Talar Acob[SUP] 1 [/SUP]
Affiliations
Abstract
Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and can be a plausible trigger for both disseminated intravascular coagulopathy (DIC) and acute pancreatitis. We present an 85-year-old male patient who presented with altered mental status and tested positive for COVID-19 infection. He was hypoxic with an incremental need for oxygen. He had clinical as well as imaging evidence of acute pancreatitis. Clinical evidence of bleeding was noted and lab findings were suggestive of DIC. Despite aggressive initial management, his clinical status continued to deteriorate and comfort care was sought eventually. This case highlights COVID-19 infection as a possible trigger for acute pancreatitis as well as DIC. It also highlights some of the differences in COVID-19-induced DIC, which fulfills the diagnostic criteria of DIC but has atypical findings.
Keywords: bleeding; covid 19; disseminated intravascular coagulation (dic); elevated lipase; severe pancreatitis.
. 2023 Jan 23;15(1):e34104.
doi: 10.7759/cureus.34104. eCollection 2023 Jan.
Acute Pancreatitis and Disseminated Intravascular Coagulopathy in COVID-19 Infection: A Case Report
Mohammad Abu-Abaa[SUP] 1 [/SUP], Ghassan Al-Qaysi[SUP] 1 [/SUP], Ali Abdulsahib[SUP] 2 [/SUP], Talar Acob[SUP] 1 [/SUP]
Affiliations
- PMID: 36843736
- PMCID: PMC9946691
- DOI: 10.7759/cureus.34104
Abstract
Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and can be a plausible trigger for both disseminated intravascular coagulopathy (DIC) and acute pancreatitis. We present an 85-year-old male patient who presented with altered mental status and tested positive for COVID-19 infection. He was hypoxic with an incremental need for oxygen. He had clinical as well as imaging evidence of acute pancreatitis. Clinical evidence of bleeding was noted and lab findings were suggestive of DIC. Despite aggressive initial management, his clinical status continued to deteriorate and comfort care was sought eventually. This case highlights COVID-19 infection as a possible trigger for acute pancreatitis as well as DIC. It also highlights some of the differences in COVID-19-induced DIC, which fulfills the diagnostic criteria of DIC but has atypical findings.
Keywords: bleeding; covid 19; disseminated intravascular coagulation (dic); elevated lipase; severe pancreatitis.