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Clin Res Hepatol Gastroenterol Atypical Presentations of Coronavirus Disease 2019 in a Patient With Acute Obstructive Suppurative Cholangitis

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  • Clin Res Hepatol Gastroenterol Atypical Presentations of Coronavirus Disease 2019 in a Patient With Acute Obstructive Suppurative Cholangitis


    Clin Res Hepatol Gastroenterol


    . 2020 May 21;S2210-7401(20)30141-8.
    doi: 10.1016/j.clinre.2020.05.003. Online ahead of print.
    Atypical Presentations of Coronavirus Disease 2019 in a Patient With Acute Obstructive Suppurative Cholangitis


    Lu-Lu Zhai 1 , Feng Xiang 1 , Wei Wang 1 , Lun Wu 1 , Lin Ye 1 , Li-Chao Yao 1 , Zhi-Gang Tang 2



    Affiliations

    Abstract

    During the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) outbreak in Wuhan, China, we experienced a case of SARS-CoV-2 infection with atypical presentations in a patient with acute obstructive suppurative cholangitis (AOSC), who was initially admitted with jaundice and fever. The patient had no other typical symptoms of COVID-19 such as cough, dyspnea, nausea, vomiting, abdominal pain and diarrhea except for fever, but her epidemiological history was clear. COVID-19 was finally confirmed by repeated viral nucleic acid testing, but her repetitive lungs CT imaging findings had been atypical. After endoscopic-related operations and antiviral treatment, the patient was subsequently recovered and discharged. This particular case is being reported to provide a reference and guidance for the diagnosis and management of COVID-19 in AOSC.

    Keywords: AOSC; Acute obstructive suppurative cholangitis; COVID-19; SARS-CoV-2.

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