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Pan Afr Med J ; 37: 150, 2020.
Article in English | MEDLINE | ID: covidwho-1022218


The SARS-CoV-2 primarily attacks the respiratory system and the most common symptoms include cough, shortness of breath, and fever. However, its tropism for the digestive system has been demonstrated and its clinical digestive manifestations are increasingly recognized. Nevertheless, little attention has been paid to pancreatic lesions included in SARS-CoV-2 infection. This case describes the presentation of acute pancreatitis as a complication associated with SARS-CoV-2 infection and the importance of looking for this complication in any patient with COVID-19. Data was collected from a patient admitted with COVID-19 to intensive care in July 2020. The patient was diagnosed with acute pancreatitis associated with SARS-CoV-2. Other causes of acute pancreatitis were excluded for both patients (including alcohol, obstruction/gallstones, drugs, trauma, hypertriglyceridemia, hypercalcemia). This case highlights acute pancreatitis as a complication associated with COVID-19 and highlights the importance of measuring lipasemia and performing an abdominal computed tomography (CT) scan in patients with COVID-19.

Clinical Nutrition ESPEN ; 2020.
Article | WHO COVID | ID: covidwho-856568


Summary Introduction The nutritional diagnosis and early nutritional management of COVID-19 patients must be integrated into the overall therapeutic strategy The aim of our study is to assess the nutritional status of patients with COVID-19 after a stay in intensive care, to describe the prevalence of undernutrition, to determine the factors influencing undernutrition and to describe the nutritional management Tools and methods This is a descriptive observational study of adult patients admitted to the endocrinology service for additional care after a stay in intensive care during the period from April 17, 2020 to May 26, 2020 The assessment tool used was the Mini Nutritional Assessment (MNA) Results Our study included 41 patients;the average age of the patients was 55 years, 51 2% had a severe or critical form of COVID-19, 75 6% stayed in intensive care, 12 2% had a loss of autonomy The average BMI was 25 2 kg/m2 (17-42 kg/m2), 42 5% were overweight, 61% had weight loss, 26 2% had weight loss greater than 10%, 14 6% of our patients were undernourished, 65 9% were at risk of undernutrition, 19 5% had hypoalbuminemia, 17 1% had hypoprotidemia, 19 5% hypocalcemia, 34 1% anemia, 12 2% hypomagnesemia and 51 2% had a deficiency in vitamin D A positive correlation was found between poor nutritional status and a longer stay in intensive care (>5 days) (p = 0 011) and lymphopenia (p=0,02) Conclusion Despite a personalized diet, 14 6% of patients presented undernutrition Particular attention should be paid to patients with a long stay in intensive care