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BMJ Case Rep ; 13(10)2020 Oct 31.
Article in English | MEDLINE | ID: covidwho-901292

ABSTRACT

An 82-year-old man with an extensive medical history presented to the emergency room with complaints of generalised weakness and cough. He tested positive for COVID-19 10 days prior to presenting to the emergency room. Although his symptoms started a week prior to diagnosis, his weakness increased, warranting emergency response. A comprehensive metabolic panel was drawn from the patient on admission, indicating markedly high liver function tests (LFTs) ≥20 times above the upper limit of normal. On day 1 of admission, the decision was still made to start remdesivir (5-day course) due to decompensated acute respiratory failure as well as dexamethasone. The patient's LFTs significantly improved throughout his hospital stay. The patient made a full recovery and was discharged on day 10 of hospitalisation.


Subject(s)
Adenosine Monophosphate/analogs & derivatives , Alanine/analogs & derivatives , Coronavirus Infections/diagnosis , Coronavirus Infections/drug therapy , Liver Diseases/diagnosis , Pneumonia, Viral/diagnosis , Pneumonia, Viral/drug therapy , Respiratory Insufficiency/diagnosis , Adenosine Monophosphate/administration & dosage , Aged, 80 and over , Alanine/administration & dosage , COVID-19 , Dexamethasone/administration & dosage , Emergency Service, Hospital , Humans , Length of Stay , Liver Diseases/complications , Liver Function Tests , Male , Pandemics/prevention & control , Pandemics/statistics & numerical data , Patient Discharge , Respiratory Insufficiency/therapy , Severity of Illness Index , Treatment Outcome , COVID-19 Drug Treatment
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