A COVID-19 Bilateral Peripheral Pneumonia in a Cirrhotic Patient; at Home Diverse Management; A Case Report Volume 2 - Issue 4

Yasser Mohammed Hassanain Elsayed*

• Critical Care Unit, Fraskour Central Hospital, Damietta Health Affairs, Egyptian Ministry of Health (MOH), Damietta, Egypt

Received: November 10, 2020   Published: December 14, 2020

Corresponding author: Yasser Mohammed Hassanain Elsayed, Critical Care Unit, Fraskour Central Hospital, Damietta Health Affairs, Egyptian Ministry of Health (MOH), Damietta, Egypt

DOI: 10.32474/JCCM.2020.02.000144

 

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Abstract

Rationale: Coronavirus disease is an important serious pandemic worldwide infection. Anticoagulants and antiplatelet medication are essential drugs in the management of COVID-19 infection. Bleeding tendency is an anxious adverse effect for these drugs in hepatic patients. Patient concerns: An elderly male COVID-19 cirrhotic patient presented to physician outpatient clinic with bilateral peripheral pneumonia. Diagnosis: COVID-19 pneumonia in cirrhotic patient. Interventions: Electrocardiography, chest CT scan, and oxygenation. Outcomes: Gradual dramatic clinical, electrocardiographic, and radiological improvement had happened. Lessons: It denotes the role of the low dose of anticoagulants, the low dose of antiplatelets, steroids, and antimicrobial therapy in the management of COVID-19 pneumonia with liver cirrhosis. Using the lowest doses of anticoagulants, and antiplatelet was the choice to avoid bleeding tendency. The mild elevations in liver enzymes indication of mild hepatic injury. The fluctuations in the synthetic function of the liver including; S. albumen, total bilirubin, prothrombin time, and INR was within normal.

Keywords:COVID-19; Coronavirus; Peripheral pneumonia; Cirrhosis; At home diverse management

Abbreviations: CBC: Complete Blood Count; COVID-19: Coronavirus Disease 2019; ECG: Electrocardiography; IV: Intravenous; IVB: Intravenous Bolus; O2: Oxygen; POC: Physician Outpatient Clinic; SGOT: Serum Glutamic-Oxaloacetic Transaminase; SGPT: Serum Glutamic-Pyruvic Transaminase; VR: Ventricular Rate

Abstract| Introduction| Case Presentation| Discussion| Conclusion and Recommendations| Conflicts of interest| Acknowledgment| References|