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

Abstract 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

Publication:

2021

Contained In:

SN comprehensive clinical medicine - 3(2021), 2 vom: 29. Jan., Seite 666-669

Language:

English

Contributors:

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

Links:

Volltext [Lizenzpflichtig]

Keywords:

COVID-19
Cholecystitis
Myeloma

doi:

10.1007/s42399-021-00785-8

PPN (Catalogue-ID):

SPR043331696