key: cord-1001041-2eab6g7i authors: Chen, Taige; Lu, Xiaofan; Wang, Yang; Wang, Jun title: Lessons from a patient with severe aplastic anemia complicated with COVID-19 date: 2020-07-20 journal: Asian J Surg DOI: 10.1016/j.asjsur.2020.07.007 sha: bc75ac89473bbab1f33c8cf3faa204bcb7cc2e42 doc_id: 1001041 cord_uid: 2eab6g7i COVID-19 patients with preexisting diseases are at high risk of worse clinical outcomes. There is little data about patients with different comorbidities and how to deal with them. We reported a case of a patient with severe aplastic anemia complicated with COVID-19 who improved but turned worse rapidly and died in septic shock. Competing interests 152 The authors declare that they have no competing interests. To our knowledge, patient with COVID-19 complicated with SSA is quite rare, 65 and this case report reminds us that atypical or even asymptomatic manifestations of Double First-Class" University project (CPU2018GY09), the Science Foundation of 122 Jiangsu Commission of Health (H2018117), and the Emergency Project for the 123 Prevention and Control of the Novel Coronavirus Outbreak in Suzhou (SYS2020012) The funders had no role in the design and conduct of the study; collection, 126 management, analysis, and interpretation of the data; preparation, review, or 127 approval of the manuscript; and decision to submit the manuscript for publication Authors' Contributions Wang had full access to all of the data in the study Chen contributed equally and share first authorship Acquisition, analysis, or interpretation of data 136 Funding acquisition Clinical course and outcomes of 344 intensive care 147 patients with COVID-19. American journal of respiratory and critical care medicine Lianhuaqingwen exerts anti-viral and 150 anti-inflammatory activity against novel coronavirus (SARS-CoV-2) Current concepts in the pathophysiology 153 and treatment of aplastic anemia Aplastic anaemia. The Lancet 159 showing two nodule-like shadows on the right lung with blurred borders (A), and 160 another shadow on the lower left lung (B) COVID-19 may be disguised by inherent diseases. We call upon all the medical 67 personnel to pay specific attention to original comorbidities, and patients with SSA 68 needs early prevention of septic shock to improve overall outcome.