Background: Coronavirus disease 2019 (COVID-19) presents with myriad extra-pulmonary manifestation and a high mortality in patients with comorbidities. Its effect on patients with pre-existing acute pancreatitis is not known.

Methods: We hereby, present 3 cases with severe acute pancreatitis with persistent respiratory failure who acquired nosocomial COVID-19 during their hospital stay after recovery from respiratory failure. Their clinical course is highlighted which reflects on pathophysiology of organ dysfunction in these 2 disease states.

Results: None of the 3 patients with severe acute pancreatitis who developed nosocomial COVID-19 redeveloped respiratory failure due to COVID-19 despite having recently recovered from pancreatitis induced acute hypoxemic respiratory failure. Only one patient developed SARS-CoV2 induced moderate pneumonia.

Conclusion: These cases highlight that host responses and mechanisms of lung injury might be different in severe acute pancreatitis and COVID-19.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7437538PMC
http://dx.doi.org/10.1016/j.pan.2020.08.008DOI Listing

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