Makarem Jalil, Naghibi Nikoo, Beigmohammadi Mohammad Taghi, Foroumandi Morteza, Mehrpooya Maryam
Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IRN.
Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IRN.
Cureus. 2020 Aug 30;12(8):e10142. doi: 10.7759/cureus.10142.
This article is about a known case of heart failure presented with acute liver failure following a coronavirus disease-2019 (COVID-19) respiratory tract infection. The patient was admitted with encephalopathy and respiratory distress with a positive COVID-19 reverse transcription-polymerase chain reaction (RT-PCR) test. Elevated liver enzymes, severe coagulopathy, and hypoglycemia were apparent without any clinical or laboratory findings of sepsis, acute viral hepatitis, medicine related or drug-induced, or autoimmune-related acute liver failure. Supportive and therapeutic measures related to his cardiovascular, respiratory, and liver function were executed in the ICU. Unfortunately, the patient expired because of respiratory failure.
本文讲述了一例已知的心力衰竭病例，该病例在2019冠状病毒病（COVID-19）呼吸道感染后出现急性肝衰竭。患者因脑病和呼吸窘迫入院，COVID-19逆转录聚合酶链反应（RT-PCR）检测呈阳性。肝功能酶升高、严重凝血功能障碍和低血糖明显，且无任何脓毒症、急性病毒性肝炎、药物相关或药物诱导性、自身免疫相关性急性肝衰竭的临床或实验室检查结果。在重症监护病房（ICU）实施了与他的心血管、呼吸和肝功能相关的支持性和治疗性措施。不幸的是，患者因呼吸衰竭死亡。
