Acute fulminant liver failure, COVID -19 and 2-day intensive care unit follow-up period: A Case Report

Abstract

We aimed to share our case who developed liver failure due to covid-19, which is more severe than we have ever encountered. A 67-year-old male patient was brought to our hospital by ambulance with complaints of weakness and eating and drinking disorder. In the first examination, the patient was conscious, oriented and cooperative. The liver and kidney function tests and whole blood parameters of the patient at the first admission were within normal limits. The patient was admitted to the intensive care unit because of comorbidities and oxygen support may be required. It was found that the patient’s liver function tests were found to be elevated in the examinations on the first intensive care unit day. Transplantation and Plasmapheresis could not be performed due to the patient's general condition. In the follow-up, orotracheal intubation was performed for the patient whose general condition deteriorated, blood pressure decreasing and positive inotropic therapy was initiated on the second ICU day. The patient whose general condition deteriorated could not be saved despite all interventions. Although our knowledge about SARS-CoV-2 is not sufficient yet, we think that it should be kept in mind that it may also cause fulminant liver failure.