Successful Non-surgical Treatment of an Acute Calculous Cholecystitis in a Myeloma Patient with Covid-19: Case Report
| Autor: | Hock Hin Chua, Tze Shin Leong, Andy Sing Ong Tang, Lee Ping Chew |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Abdominal pain business.industry Gallbladder Myeloma Hydroxychloroquine General Medicine Neutropenia medicine.disease Tazobactam Pneumonia medicine.anatomical_structure Internal medicine Cholecystitis medicine medicine.symptom Covid-19 business Multiple myeloma medicine.drug |
| Zdroj: | SN Comprehensive Clinical Medicine Sn Comprehensive Clinical Medicine |
| ISSN: | 2523-8973 |
| DOI: | 10.1007/s42399-021-00785-8 |
| Popis: | COVID-19 has a wide spectrum of clinical phenotypes. While fever and cough are the most common symptoms, abdominal pain is rarely reported. We report the first case of COVID-19 pneumonia in an elderly patient with multiple myeloma (MM), complicated by acute calculous cholecystitis (ACC). A 73-year-old gentleman with underlying IgG kappa MM, presented with fever, cough and dyspnoea. His nasopharyngeal swab was positive for SARS-CoV-2. Piperacillin/tazobactam and oral hydroxychloroquine were started in addition to granulocyte colony-stimulating factor (GCSF) support due to neutropenia. Patient deteriorated on day 5, requiring high flow oxygen support. Dexamethasone, low molecular weight heparin prophylaxis and one dose of intravenous immunoglobulin were given. Despite negative swab on day 10, he developed ACC on day 17. With antibiotics and supportive care, patient showed full recovery without any surgical intervention. It remains elusive whether the gallbladder might be vulnerable to COVID-19, necessitating further validation via prospective studies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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