Successful treatment of an 82‐year‐old COVID‐19 delta variant‐infected patient with haemorrhagic stroke and active prostate cancer brain metastasis

• Published in: Clinical and Translational Discovery Vol. 2; no. 1; pp. e20 - n/a
• Main Authors: Wang, Buhai, Yu, Jiangquan, Zeng, Yichun, Zhang, Xian, Han, Chongxu, Lu, Qili, Wang, Xiaolin, Liang, Yichen, Gu, Juan J., Shu, Yusheng
• Format: Journal Article Web Resource
• Language: English
• Published: United States John Wiley & Sons, Inc 01.03.2022; John Wiley and Sons Inc; Wiley
• Subjects: Letter to the Editor
• ISSN: 2768-0622; 2768-0622
• DOI: 10.1002/ctd2.20

Summary of laboratory data (9 August, day 4) Test Result Normal range White blood cells 8.11 3.5–9.5 10∧9/L Haemoglobin 133 130–175 g/L Neutrophil 74.3 40–75% Lymphocyte 17.8 20%–50% Monocyte 7.8 3%–10% Basophil count 0.01 0–0.06 10∧9/L Eosinophil count 0.00 0.02–0.52 10∧9/L Glucose 6.77 3.9–6.1 mmol/L Sodium 137 137–147 mmol/L Potassium 2.62 3.5–5.3 mmol/L Chloride 93 137–147 mmol/L Carbon Dioxide 29.3 22–29 mmol/L Calcium 2 2.15–2.5 mmol/L C-response protein 93.6 <5.00 mg/L Creatine kinase 2026 50–310 U/L Alkaline Phosphatase 78 45–125 U/L Total proteins 60.5 65–85 g/L Albumin 37.0 40–55 g/L Urea 9.3 3.6–9.5 mmol/L Creatinine 108 44–133 umol/L Total bilirubin 11.7 ≤24 umol/L Direct bilirubin 7.1 <5.0 mmol/L Indirect bilirubin 4.6 0–20 mmol/L Aspartate Aminotransferase (AST) 96.5 10–60 U/L Alanine Aminotransferase (ALT) 30.5 9–50 U/L Lactate Dehydrogenase (LDH) 533 0–25 U/L He was hospitalized in the Intensive Care Unit (ICU) ward for COVID-19 treatment and intracranial haemorrhage, following protocol from infectious disease for COVID-19 positive patient. According to the studies on COVID-19 alpha strain, people with certain conditions can get severe illness, including older adults cancer, chronic lung disease, neurological conditions, diabetes, coronary artery disease, HIV infection, liver disease, overweight, liver disease and smoking.1 Our patient had various high-risk factors: elderly patient; concomitant late-stage active prostate cancer; long-term of anti-cancer treatment; neurological condition of brain metastasis from prostate cancer; pre-existing underline disease of the lung and heart; 1-month post-surgical condition of coronary stenting and intracerebral haemorrhage. [...]patient was put on a prone ventilation position, which was recommended by other experts.10 This position would reduce the lung compression, improve oxygenation and improve the lung perfusion.