A COVID-19 Patient Presenting with Acute Hepatitis

IF 0.3 Q4 EMERGENCY MEDICINE Eurasian Journal of Emergency Medicine Pub Date : 2022-12-09 DOI:10.4274/eajem.galenos.2021.38247
M. Kaya, Simge Fidan Sarı
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引用次数: 1

Abstract

A 55-year-old male patient presented to our outpatient clinic with complaints of dark urine and fatigue. The laboratory parameters were as follows: alanine aminotransferase 821 IU/L, aspartate aminotransferase 1042 IU/L, alkaline phosphatase 412 IU/L gamma-glutamyl transferase 268 IU/L and the complete urinalysis revealed hematuria, while other laboratory parameters were normal. The patient's abdominal ultrasonography (USG) and Doppler USG showed no pathological finding. Hepatitis and the other serologies were negative. The patient, who did not exhibit any symptoms of Coronavirus disease-2019 (COVID-19) initially, exhibited bilateral opacities in the middle zones on chest X-ray taken after the development of fever and dyspnea on the third day of hospitalization. The computed tomography scan revealed segmental consolidation across the subpleural regions, mostly in the middle zones, and was evaluated to be consistent with COVID-19. COVID-19 treatment was planned for the patient whose nasopharyngeal swab tested positive for severe acute respiratory syndrome-Coronavirus-2.
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1例新冠肺炎患者急性肝炎
一名55岁男性病人到我们门诊就诊,主诉尿色深和疲劳。实验室参数:丙氨酸转氨酶821 IU/L,天冬氨酸转氨酶1042 IU/L,碱性磷酸酶412 IU/L -谷氨酰转移酶268 IU/L,全尿分析血尿,其他实验室参数正常。腹部超声及多普勒超声未见病理改变。肝炎及其他血清学均为阴性。患者最初未表现出任何冠状病毒病(COVID-19)的症状,但在住院第3天出现发烧和呼吸困难后,胸部x线显示双侧中部混浊。计算机断层扫描显示横跨胸膜下区域的节段性实变,主要在中间区域,并被评估为与COVID-19一致。计划对鼻咽拭子检测为严重急性呼吸综合征-冠状病毒2型阳性的患者进行COVID-19治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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自引率
50.00%
发文量
39
审稿时长
10 weeks
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