![]() He was also started on a 10-day course of dexamethasone which he was instructed to complete at home upon discharge (two doses left at discharge) (Table 1). During his previous admission, he received a five-day course of remdesivir (completed on day 6 of admission) and a dose of tocilizumab (on day 4 of admission). He was discharged three days prior after a nine-day admission for SARS-CoV-2 pneumonia. His abdominal pain was sharp and non-radiating with no associated nausea or vomiting. Case PresentationĪ 71-year-old male with a past medical history of type 2 diabetes mellitus, end-stage renal disease on hemodialysis, status-post renal transplantation with subsequent failure, paroxysmal atrial fibrillation, history of colon diverticulitis with perforation status-post colostomy and multiple other co-morbidities who presented to the emergency room with acute onset epigastric abdominal pain. This case has previously been presented at the World Congress of Gastroenterology organized by the American College of Gastroenterology in October 2021. The patient presented with AP three days after discharge from the hospital. We present a case of pancreatitis in a patient who was recently admitted for SARS-CoV-2 pneumonia. Emerging literature has also shown reports of AP in patients with SARS-CoV-2 infection. Other viruses that have been previously shown to cause AP include cytomegalovirus, varicella-zoster virus, coxsackie virus, echoviruses, measles, mumps, HIV infection, HSV, EBV, adenovirus, influenza, and H1N1. Viral hepatitis accounts for most of the cases of virus-induced AP. Virus-induced AP has been extensively studied previously. Other causes include pancreas divisum, hypertriglyceridemia, recent endoscopic retrograde cholangiopancreatography (ERCP), malignancies, drugs, or inflammatory processes such as viral infections. The most common cause of AP is bile duct obstruction (38% of cases), followed by alcohol abuse (36% of cases) in the US population. The mechanism involves trypsin reflux from the pancreatic duct and subsequent activation, leading to the digestion of pancreatic parenchyma. This can be due to obstructive or inflammatory mechanisms, such as biliary tract obstruction, or a recent inflammatory process, such as a viral infection. Consult your doctor if you are pregnant, trying to get pregnant, or are breastfeeding before using this medicine.Acute pancreatitis (AP) occurs due to an increase in trypsin or a decrease in trypsinogen activation. Inform your doctor if you have diabetes, as Eltroxin 100 mcg Tablet may cause altered blood sugar levels.Įltroxin 100 mcg Tablet is safe for children and can be used during pregnancy and while breastfeeding. Take this medication at the same time every day for better results and to decrease the likelihood of a missed dose.Įltroxin 100 mcg Tablet should be avoided if you are allergic to it or have heart conditions or hyperthyroidism (a condition where the thyroid gland secretes excess quantities of thyroid hormones), thyrotoxicosis (a condition where extremely high levels of thyroid hormones secreted by the thyroid gland show effects on the tissue level) or adrenal insufficiency (a condition where the adrenal glands which are present above the kidney, cannot secrete sufficient quantities of steroidal hormones).Įltroxin 100 mcg Tablet use may cause weight loss, but it should not be prescribed or taken to treat obesity. Consult your doctor if the side effects persist for a long time.Įltroxin 100 mcg Tablet should be taken in the morning on an empty stomach, at least 30-60 minutes before breakfast. Eltroxin 100 mcg Tablet will be prescribed by your doctor after determining your thyroid hormone levels.Įltroxin 100 mcg Tablet may cause side effects such as excessive sweating, increased hunger, tremors or shaking of hands and legs, heat intolerance, nausea, and vomiting, diarrhoea, weight loss, restlessness, irregular heartbeat, etc. It replaces a hormone normally produced by the thyroid gland to regulate the body's energy and metabolism. Eltroxin 100 mcg Tablet is primarily used to treat Hypothyroidism, a condition where the thyroid gland (a butterfly-shaped organ located in the base of the neck) does not produce sufficient quantities of the required hormones.Įltroxin 100 mcg Tablet is also used to treat certain other disorders associated with the thyroid gland.
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