Figure 1. Computed tomography of the abdomen and pelvis showing an indistinct margin of the pancreatic tail and left upper quadrant ascites. Mild stranding (white arrow) with surrounding ascites (red arrow).
| International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc |
| Journal website https://www.theijcp.org |
Case Report
Volume 9, Number 4, December 2020, pages 125-129
Elevated Lipase Associated With COVID-19 Possibly due to Acute Pancreatitis in a Pediatric Patient: A Case Report
Figure
Tables
| Hospital day 1 | Hospital day 2 | Hospital day 3 | |
|---|---|---|---|
| WBC: white blood cell; RBC: red blood cell; Hb: hemoglobin; HCT: hematocrit; MCV: mean corpuscular volume; MCH: mean corpuscular hemoglobin; MCHC: mean corpuscular hemoglobin concentration; MPV: mean platelet volume; RDW-CV: red blood cell distribution width. | |||
| WBC (× 103/mm3) | 9.8 | 9 | 9.4 |
| RBC (× 106/mm3) | 5.31 | 5.08 | 5.05 |
| Hb (g/dL) | 14.7 | 14 | 13.9 |
| HCT (%) | 43.6 | 42.1 | 41.9 |
| MCV (fL) | 82.1 | 83 | 83 |
| MCH (pg) | 27.7 | 27.6 | 27.5 |
| MCHC (g/dL) | 33.8 | 33.2 | 33.1 |
| MPV (fL) | 9.1 | 9.1 | 9 |
| RDW-CV (%) | 14.5 | 14.5 | 14.1 |
| Platelet count (× 103/mm3) | 204 | 195 | 193 |
| Neutrophils (%) | 84 | 76.4 | 79.7 |
| Lymphocytes (%) | 11 | 13.3 | 9.7 |
| Monocytes (%) | 4 | 9.8 | 9.9 |
| Eosinophils (%) | 1 | 0.1 | 0.2 |
| Basophils (%) | 0.0 | 0.4 | 0.5 |
| Absolute neutrophils (× 103/mm3) | 8.23 | 6.9 | 7.5 |
| Absolute lymphocytes (× 103/mm3) | 1.08 | 1.2 | 0.9 |
| Absolute monocytes (× 103/mm3) | 0.39 | 0.9 | 0.9 |
| Absolute eosinophils (× 103/mm3) | 0.1 | 0.0 | 0.0 |
| Absolute basophils (× 103/mm3) | 0.0 | 0.0 | 0.0 |
| Hospital day 1 | Hospital day 2 | Hospital day 3 | |
|---|---|---|---|
| BUN: blood urea nitrogen; ALP: alkaline phosphatase; AST/SGOT: aspartate aminotransferase; ALT/SGPT: alanine aminotransferase; CO2: carbon dioxide. | |||
| Protein (g/dL) | 7.7 | 6.5 | 6 |
| Albumin (g/dL) | 4.4 | 3.8 | 3.6 |
| BUN (mg/dL) | 8 | 7 | 7 |
| Creatinine (mg/dL) | 0.85 | 0.83 | 0.86 |
| Calcium (mg/dL) | 9.7 | 9.1 | 8.9 |
| Glucose (mg/dL) | 120 | 121 | 95 |
| Total bilirubin (mg/dL) | 1.6 | 1.9 | 2.8 |
| ALP (U/L) | 430 | 356 | 323 |
| AST/SGOT (U/L) | 20 | 16 | 14 |
| ALT/SGPT (U/L) | 11 | 6 | 7 |
| Sodium (mmol/L) | 136 | 137 | 136 |
| Potassium (mmol/L) | 4.1 | 3.9 | 4.3 |
| Chloride (mmol/L) | 102 | 105 | 104 |
| CO2 (mmol/L) | 28 | 28 | 26 |
| Anion gap | 6 | 4 | 6 |
| Phosphorus (mg/dL) | 5 | ||
| Magnesium (mg/dL) | 1.84 | ||
| HIV: human immunodeficiency virus; RPR: rapid plasma reagin. | |
| Gamma-glutamyl transferase | 15 U/L |
| Amylase | 104 U/L |
| Triglycerides | 43 mg/dL |
| HIV 1/2 antibody 4th generation screening | Non-reactive |
| RPR for syphilis | Non-reactive |
| Blood culture | Negative |
| Urine Chlamydia trachomatis and Neisseria gonorrhoeae | Negative |
| Hospital day 1 | Hospital day 2 | |
|---|---|---|
| WBC: white blood cell; HPF: high power field; LPF: low power field. | ||
| Glucose | Negative | Negative |
| Blood | Negative | Negative |
| Bilirubin | Small | Negative |
| Ketones | Trace | Negative |
| Urine specific gravity | ≥ 1.030 | ≥ 1.031 |
| PH | 6.0 | 5.0 |
| Protein (mg/dL) | 100 | 30 |
| Urobilinogen (EU/dL) | 0.2 | < 2.0 |
| Leukocyte esterase | Negative | Negative |
| Nitrites | Negative | Negative |
| WBC | 2 - 5/HPF | |
| Bacteria | Few | |
| Mucus threads | 3+/LPF | |