Singh Suhail, Singh Anchit Raj, Pathak Basant Kumar, Mohakuda Sourya Sourabh, Tilak Tvsvgk
Department of Internal Medicine, Armed Forces Medical College, Pune, India.
Curr Health Sci J. 2021 Jan-Mar;47(1):139-142. doi: 10.12865/CHSJ.47.01.23. Epub 2021 Mar 31.
A 55 year old patient of COVID-19, with no known comorbidities presented with fever, myalgia and headache and at presentation had leukopenia and thrombocytopenia, however did not have any bleeding manifestations. The patient's inflammatory markers including ferritin and C-reactive protein were elevated at admission. Later in the course of illness went on to develop severe thrombocytosis and leukocytosis. We discuss the course and outcome of illness in an unusual case of COVID-19 with severe and diametrically opposite haematological abnormalities.
一名55岁的新冠肺炎患者,无已知合并症,表现为发热、肌痛和头痛,就诊时出现白细胞减少和血小板减少,但无任何出血表现。患者的炎症标志物包括铁蛋白和C反应蛋白在入院时升高。在病程后期,病情发展为严重的血小板增多和白细胞增多。我们讨论了一例新冠肺炎的病程和结局,该病例具有严重且截然相反的血液学异常。