“A Case Report in Surgery, Infectious Diseases, Oncology, Chest, And Critical Care Medicine” “COVID Pancreatitis with Pneumonia; Strong Suspicion with Possible Drug Exacerbation and Associations”

Rationale: Acute pancreatitis is an unforeseeable and probably fatal disease that has remarkable morbidity and mortality. Acute pancreatitis is not particularly caused by SARS-CoV-2. Failure to diagnose drug-inducing pancreatitis can be serious. Nowadays, the correlation between COVID-19 and acute pancreatitis is still non-evidenced. Unfortunately, the animal studies of COVID-19 causing acute pancreatitis are defective. Patient

Concerns: An elderly, housewife, married, Egyptian female patient was presented with acute pancreatitis with mild COVID-19 pneumonia and chronic hypertension.

Diagnosis: Acute pancreatitis with mild COVID pneumonia in previously hypertensive patient with possible drug inducing and pancreatic carcinomas association.

Interventions: Contrast abdominal CT, abdominal MRI, non-contrast chest CT, electrocardiography, oxygenation, and echocardiography.

Outcomes: Good response and better outcomes despite the presence of numerous remarkable risk factors were the results.

Keywords:COVID-19 pneumonia; Pancreatitis; Drug inducing pancreatitis; Pancreatic carcinomas; Drug exacerbation and associations

Abbreviations:ALP: Alkaline phosphatase
CA 19-9Cancer antigen 19-9
CEA: Carcinoembryonic antigen
COVID-19: Coronavirus disease 2019
ECG: Electrocardiogram
GGT: Gamma-glutamyl transferase
ICU: Intensive care unit
O2: Oxygen
SGOT: Serum glutamic-oxaloacetic transaminase
SGPT: Serum glutamic-pyruvic transaminase
VR: Ventricular rate