Pancytopenia in COVID 19 patient - A rare case reported in Hypoxic ward of tertiary care centre. Case Report

Abstract

The coronavirus disease 2019 (COVID-19) pandemic is a serious public health concern worldwide. The virus mainly causes respiratory symptoms and other manifestation. Patients mainly an upper respiratory tract infection in over more than 90% cases more likely to have more severe condition and death, usually in older adults and people with certain pre-existing medical conditions. Assessments showed that COVID-19 can cause various alterations in the blood parameters. There are many common causes of pancytopenia, a new cause that has been documented in patient case studies in COVID-19. Clinical practitioners in all practice environments need to be able to identify pancytopenia and be aware of the associated complications and emergencies in order to provide appropriate intervention including a hematology consult. We report a case of 42 year old male with severe pancytopenia associated with COVID-19 infection (RT – PCR positive) that developed severe transient pancytopenia which improved with conservative management like oxygen saturation maintenance, steroids, antibiotics, vital signs monitoring and breathing exercises. Diagnosing pancytopenia in the setting of COVID-19 infection is challenging processes and requires ruling out all other etiopathological causes of pancytopenia. The present case report aims understand the relationship between COVID-19 disease and pancytopenia.