A fatal case of COVID-19 due to metabolic acidosis following dysregulate inflammatory response (cytokine storm)

The ongoing outbreak of COVID-19 has been expanding worldwide. As of 17 April 2020, the death toll stands at a sobering 147,027 and over two million cases, this has been straining the health care systems all over. Respiratory failure has been cited as the major cause of death but here we present a case about a patient who instead succumbed to severe metabolic acidosis with multiple organ failure. (C) 2020 The Authors. Published by Elsevier Ltd.