tetano
Editor, Senior Moderator
BMJ Case Rep
. 2020 Jun 16;13(6):e236030.
doi: 10.1136/bcr-2020-236030.
COVID-19 Presenting as Severe, Persistent Abdominal Pain and Causing Late Respiratory Compromise in a 33-year-old Man
Sarah Catherine Walpole[SUP] 1 2 [/SUP], Rebecca McHugh[SUP] 3 [/SUP], Julie Samuel[SUP] 4 [/SUP], Matthias Ludwig Schmid[SUP] 3 [/SUP]
Affiliations
Abstract
A 33-year-old man presented repeatedly with severe abdominal pain and diarrhoea. Renal colic was suspected, and he was admitted for pain management. Questioning elicited an additional history of sore throat and mild, dry cough. Inflammatory markers were mildly raised (C reactive protein (CRP) 40 mg/L). Initial nasopharyngeal swabs were negative for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) by PCR. CT of the kidneys, ureters and bladder (CT KUB) was normal; however, CT of the thorax showed multifocal bilateral peripheral areas of consolidation consistent with COVID-19 infection. He developed respiratory compromise and was transferred to the intensive care unit (ICU). Sputum was positive for SARS-CoV-2 by PCR, and culture grew Yersinia enterocolitica He recovered following supportive management and treatment with piperacillin-tazobactam.
Keywords: adult intensive care; infectious diseases; medical management; pneumonia (respiratory medicine); respiratory medicine.
. 2020 Jun 16;13(6):e236030.
doi: 10.1136/bcr-2020-236030.
COVID-19 Presenting as Severe, Persistent Abdominal Pain and Causing Late Respiratory Compromise in a 33-year-old Man
Sarah Catherine Walpole[SUP] 1 2 [/SUP], Rebecca McHugh[SUP] 3 [/SUP], Julie Samuel[SUP] 4 [/SUP], Matthias Ludwig Schmid[SUP] 3 [/SUP]
Affiliations
- PMID: 32546557
- DOI: 10.1136/bcr-2020-236030
Abstract
A 33-year-old man presented repeatedly with severe abdominal pain and diarrhoea. Renal colic was suspected, and he was admitted for pain management. Questioning elicited an additional history of sore throat and mild, dry cough. Inflammatory markers were mildly raised (C reactive protein (CRP) 40 mg/L). Initial nasopharyngeal swabs were negative for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) by PCR. CT of the kidneys, ureters and bladder (CT KUB) was normal; however, CT of the thorax showed multifocal bilateral peripheral areas of consolidation consistent with COVID-19 infection. He developed respiratory compromise and was transferred to the intensive care unit (ICU). Sputum was positive for SARS-CoV-2 by PCR, and culture grew Yersinia enterocolitica He recovered following supportive management and treatment with piperacillin-tazobactam.
Keywords: adult intensive care; infectious diseases; medical management; pneumonia (respiratory medicine); respiratory medicine.