Table 1.
Case series of 6 patients with COVID-19 pneumonia and upper GI bleeding
Patient | Age, y | Gender | Presenting GI symptom | O2 saturation | Hb g/dL, HCT %, Plts K/uL | Transfusion | CXR finding | GBS | D-dimer, ng/mL∗ | Ferritin, ng/mL† | LDH, U/L‡ | GI outcome |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 77 | Male | Hematemesis | 94% RA | 9.6/30.5/154 | No | BI | 12 | 372 | 860 | 399 | GI bleed resolved |
2 | 65 | Male | Melena | 86% RA | 6.2/17.7/151 | Yes 2 U PRBC | BO | 18 | 3042 | 7987 | 1142 | GI bleed resolved |
3 | 46 | Male | Melena | 90% RA | 6.8/21.2/226 | Yes 2 U PRBC | BI | 11 | 285 | 3970 | 878 | GI bleed resolved |
4 | 70 | Female | Melena | 92% RA | 10.2/31.2/260 | No | BO | 11 | 38674 | 1040 | 1188 | GI bleed resolved |
5 | 67 | Female | Hematemesis | 88% RA | 6.1/20.7/209 | Yes 2 U PRBC |
BI RUL opacity |
15 | - | 802 | 563 | GI bleed resolved |
6 | 82 | Female | Melena | 94% 5LO2 | 8.6/29.2/302 | Yes 2 U PRBC |
BI LLL opacity |
14 | 1198 | 705 | 959 | GI bleed resolved |
RA, Room air; CXR, chest x-ray; GBS, Glasgow-Blatchford score, BI, bilateral interstitial infiltrates; BO, bilateral opacities; RUL, right upper lobe; LLL, left lower lobe; Hb, hemoglobin; HCT, hematocrit; LDH, lactate dehydrogenase; PRBC, packed red blood cells; Plts, platelets; 5L02, five liters oxygen.
D-dimer: upper limit of normal <229 ng/mL.
Ferritin: upper limit of normal 400 ng/mL.
LDH: upper limit of normal 242 U/L.