Emerging Clinical Features of COVID-19 Related Pancreatitis: Case Reports and Review of the Literature

被引：6

作者：

Fiore, Vito ^{[1
]}

Beretta, Rosalba ^{[2
]}

De Vito, Andrea ^{[1
]}

Barac, Aleksandra ^{[3
,4
]}

Maida, Ivana ^{[1
]}

Joeseph Kelvin, David David ^{[5
,6
]}

Piu, Claudia ^{[7
,8
]}

Lai, Vincenzo ^{[7
]}

Madeddu, Giordano ^{[1
]}

Rubino, Salvatore ^{[3
,4
,7
,8
]}

Stevanovic, Goran ^{[9
,10
]}

Korica, Stefan ^{[3
,11
]}

Babudieri, Sergio ^{[1
]}

机构：

[1] Univ Sassari, Dept Med Surg & Expt Sci, Unit Infect Dis, Sassari, Italy

[2] Area Socio Sanit Locale, Dept Emergency, Olbia, Italy

[3] Univ Belgrade, Fac Med, Belgrade, Serbia

[4] Univ Clin Ctr Serbia, Clin Infect & Trop Dis, Belgrade, Serbia

[5] Dalhousie Univ, Fac Med, Canadian Ctr Vaccinol, Dept Microbiol & Immunol, Halifax, NS, Canada

[6] Shantou Univ, Lab Immun, Coll Med, Shantou, Peoples R China

[7] Azienda Osped Univ Sassari, Unit Microbiol & Virol, Sassari, Italy

[8] Univ Sassari, Dept Biomed Sci, Sassari, Italy

[9] Univ Belgrade, Fac Med, Belgrade, Serbia

[10] Univ Belgrade, Clin Ctr Serbia, Belgrade, Serbia

[11] Univ Clin Ctr Serbia, Clin Orthpaed Surg & Traumatol, Belgrade, Serbia

来源：

FRONTIERS IN MEDICINE | 2022年 / 8卷

基金：

加拿大健康研究院;

关键词：

COVID-19; SARS-CoV-2; severe pancreatitis; angiotensin-converting enzyme; acute; HELICAL CT;

D O I：

10.3389/fmed.2021.779118

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

IntroductionSARS-CoV-2 is fundamentally a respiratory pathogen with a wide spectrum of symptoms. The COVID-19 related pancreatitis is less considered than other clinical features. The purpose is to describe two cases of pancreatitis associated with COVID-19. MethodologyPatients' demographics, clinical features, laboratory, and instrumental findings were collected. ResultsTwo patients admitted to the hospital were diagnosed with COVID-19 and severe acute pancreatitis, according to the Atlanta criteria. Other causes of acute pancreatitis were excluded. Treatment included broad-spectrum antibiotics, proton pump inhibitors, and low molecular weight heparin. Steroids, oxygen, antifungal treatment, and pain killers were administered when appropriate. Both patients were asymptomatic, with normal vital parameters and blood exams, and were discharged in a good condition. ConclusionIt is recommendable to include lipase and amylase on laboratory routine tests in order to evaluate the need for the abdominal CT-scan and specific therapy before hospital admission of the patients with COVID-19 related life-threatening acute pancreatitis.

引用

页数：4

共 23 条

[1] COVID-19 presenting as acute pancreatitis [J].