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Nosocomial COVID-19 Infection and Severe COVID-19 Pneumonia in Patients Hospitalized for Alcoholic Liver Disease: A Case Report

H. Wisniewska, Miłosz Skowron, D. Bander, M. Hornung, K. Jurczyk, E. Karpińska, Ł. Laurans, Ł. Socha et al.

The American journal of case reports, 2020

19 participants · 7 citations

Abstract

Case series Patient: Female, 31-year-old • Female, 40-year-old Final Diagnosis: Alcohol liver disease • COVID-19 Symptoms: Ascites • cough • dyspnea • jaundice Medication: — Clinical Procedure: CT scan Specialty: Anesthesiology • Gastroenterology and Hepatology • Infectious Diseases • General and Internal Medicine Objective: Rare co-existance of disease or pathology Background: COVID-19 is an infectious disease caused by SARS-CoV-2. It has spread rapidly through the world, endangering human life. The main target of COVID-19 is the lungs; however, it can involve other organs, including the liver. Patients with severe COVID-19 have an increased incidence of abnormal liver function, and patients with liver disorders are considered to be at a higher risk of severe COVID-19 infection. The mechanism of liver injury reported in 14% to 53% of COVID-19 patients is poorly recognized and several possibilities need to be considered (cytokine storm, direct viral action, hypoxia). The incidence of underlying liver comorbidities in patients with a COVID-19 infection ranges from 1% to 11%. Case Reports: This is a report of 2 nosocomial COVID-19 infections and severe COVID-19 pneumonia in 2 patients who were hospitalized during treatment for alcoholic liver disease (ALD). Case 1 and case 2 were a 31-year-old woman and a 40-year-old woman, respectively, with decompensated ALD and symptoms of the COVID-19 infection. Both patients were transferred from another hospital to our hospital after…

How strong is the evidence?

Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health. Reported size: 19 participants or records.

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