عنوان مقاله :
Covid-19 Presented Only with Gastrointestinal Symptoms: A Case Report of a 14-Year-Old Patient
پديد آورندگان :
Goshayeshi، Ladan Department of Gastroenterology and Hepatology - Faculty of Medicine - Mashhad University of Medical Sciences , Milani, Nasrin Department of Internal Medicine - Faculty of Medicine - Mashhad University of Medical Sciences , Bergquist, Robert Formerly UNICE - UNDP/World Bank - WHO Special Programme for Research and Training in Tropical Diseases (TDR) - World Health Organization, Switzerland , Sadrzadeh, Majid Department of Emergency Medicine - Faculty of Medicine - Mashhad University of Medical Sciences , Rajabzadeh, Farnood 5 Department of Radiology - Faculty of Medicine - Islamic Azad University - Mashhad Branch , Hoseini, Benyamin Department of Health Information Technology - Neyshabur University of Medical Sciences
كليدواژه :
COVID-19 , Gastrointestinal symptoms , Case report , Abdominal pain , Acute respiratory disease
چكيده فارسي :
Coronavirus disease 2019 (Covid-19) is expanding worldwide. Although it seems to be a purely respiratory disease, occasional reports
of lesions in other organs have been published. We report here an asymptomatic child with Covid-19 and with the main symptom of
abdominal pain distension and without any respiratory symptoms.
A 14-year-old male patient with main complaints of fever, malaise, anorexia, and severe abdominal pain was admitted to a hospital in
Mashhad, Iran. Laparotomy revealed distension of the small intestine and an adhesive ileocaecal band that had produced ileum herniation
without free fluid in the abdomen. Chest radiography and high-resolution computed tomography of the lungs showed bilateral
and diffuse, peripheral dense areas of ground-glass appearance. A nasopharyngeal swab for diagnosis of Covid-19, was ordered due to
lymphopenia together with these diffuse lung infiltrations, which showed a positive result. This led to drug treatment with lopinavir/
ritonavir, hydroxychloroquine, ribavirin/oseltamivir, and meropenem. The patient was febrile and developed tachycardia on the third
day, accompanied by a respiratory rate of 44/min. At this point, tracheal intubation was done, but the patient died after 3 hours due
to cardiac arrest. The case report brings forth the hypothesis that the gastrointestinal manifestation may be an atypical symptom of
Covid-19 infection and highlights the importance of the diagnosis based on combined laboratory-based data and scanning imagery.
چكيده لاتين :
Coronavirus disease 2019 (Covid-19) is expanding worldwide. Although it seems to be a purely respiratory disease, occasional reports
of lesions in other organs have been published. We report here an asymptomatic child with Covid-19 and with the main symptom of
abdominal pain distension and without any respiratory symptoms.
A 14-year-old male patient with main complaints of fever, malaise, anorexia, and severe abdominal pain was admitted to a hospital in
Mashhad, Iran. Laparotomy revealed distension of the small intestine and an adhesive ileocaecal band that had produced ileum herniation
without free fluid in the abdomen. Chest radiography and high-resolution computed tomography of the lungs showed bilateral
and diffuse, peripheral dense areas of ground-glass appearance. A nasopharyngeal swab for diagnosis of Covid-19, was ordered due to
lymphopenia together with these diffuse lung infiltrations, which showed a positive result. This led to drug treatment with lopinavir/
ritonavir, hydroxychloroquine, ribavirin/oseltamivir, and meropenem. The patient was febrile and developed tachycardia on the third
day, accompanied by a respiratory rate of 44/min. At this point, tracheal intubation was done, but the patient died after 3 hours due
to cardiac arrest. The case report brings forth the hypothesis that the gastrointestinal manifestation may be an atypical symptom of
Covid-19 infection and highlights the importance of the diagnosis based on combined laboratory-based data and scanning imagery
