Successful Non-surgical Treatment of an Acute Calculous Cholecystitis in a Myeloma Patient with Covid-19 : Case Report

© The Author(s), under exclusive licence to Springer Nature Switzerland AG part of Springer Nature 2021..

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.

Media Type:

Electronic Article

Year of Publication:

2021

Contained In:

SN comprehensive clinical medicine - (29.01.2021), p. 1-4

Language:

English

Contributors:

Tang, Andy Sing Ong
Leong, Tze Shin
Chew, Lee Ping
Chua, Hock Hin

Links:

Volltext

Keywords:

COVID-19
Cholecystitis
Journal Article
Myeloma

Notes:

Date Revised 10.02.2021

published: Print-Electronic

Citation Status Publisher

Copyright: From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Physical Description:

Online-Ressource

doi:

10.1007/s42399-021-00785-8

PMID:

33554049

PPN (Catalogue-ID):

NLM322193265