Acute pancreatitis temporally associated with COVID-19 pneumonia in a patient with post-tuberculosis chronic pulmonary aspergillosis: a case report - Takeaways - MDSpire

Acute pancreatitis temporally associated with COVID-19 pneumonia in a patient with post-tuberculosis chronic pulmonary aspergillosis: a case report

  • By

  • Wenqing Yu

  • Peiqing Yang

  • Mingdong Ding

  • Li Guo

  • Ying Liu

  • Daming Zhou

  • Chengjing Gu

  • June 9, 2026

  • 0 min

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  • 1

    A 59-year-old woman with chronic pulmonary aspergillosis developed acute pancreatitis following COVID-19 pneumonia.

  • 2

    The patient had a complex medical history, including malignancy and post-tuberculosis lung disease.

  • 3

    Acute pancreatitis was diagnosed based on elevated serum amylase/lipase and CT-confirmed peripancreatic inflammation.

  • 4

    Sputum sequencing detected SARS-CoV-2 and bacterial pathogens, leading to treatment with Paxlovid.

  • 5

    The case highlights the diagnostic challenges of managing overlapping infections in patients with structural lung disease.

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