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Rare case of COVID-19 presenting as acute abdomen and sepsis
Coronavirus disease 2019 (COVID-19) may present as acute abdomen, although the pathophysiology remains obscure. We report the case of a 45-year-old-man with severe COVID-19 pneumonia with associated pulmonary embolism who presented with acute abdomen. He underwent emergency laparotomy and resection...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7670919/ https://www.ncbi.nlm.nih.gov/pubmed/33224507 http://dx.doi.org/10.1016/j.nmni.2020.100818 |
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author | Alharthy, A. Balhamar, A. Faqihi, F. Nasim, N. Noor, A.F. Alqahtani, S.A. Memish, Z.A. Karakitsos, D. |
author_facet | Alharthy, A. Balhamar, A. Faqihi, F. Nasim, N. Noor, A.F. Alqahtani, S.A. Memish, Z.A. Karakitsos, D. |
author_sort | Alharthy, A. |
collection | PubMed |
description | Coronavirus disease 2019 (COVID-19) may present as acute abdomen, although the pathophysiology remains obscure. We report the case of a 45-year-old-man with severe COVID-19 pneumonia with associated pulmonary embolism who presented with acute abdomen. He underwent emergency laparotomy and resection of an ischaemic area of the jejunum. Postoperatively, he had septic shock, acute respiratory distress syndrome and acute kidney injury necessitating continuous renal replacement therapy. We administered antibiotics and therapeutic anticoagulation along with two sessions of haemoadsorption by CytoSorb filter, in conjunction with continuous renal replacement therapy. The patient survived. Bowel ischaemia due to thromboembolic disease should be promptly treated. Extracorporeal blood purification may be useful in managing sepsis in severe COVID-19. |
format | Online Article Text |
id | pubmed-7670919 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-76709192020-11-18 Rare case of COVID-19 presenting as acute abdomen and sepsis Alharthy, A. Balhamar, A. Faqihi, F. Nasim, N. Noor, A.F. Alqahtani, S.A. Memish, Z.A. Karakitsos, D. New Microbes New Infect New Microbes in Humans Coronavirus disease 2019 (COVID-19) may present as acute abdomen, although the pathophysiology remains obscure. We report the case of a 45-year-old-man with severe COVID-19 pneumonia with associated pulmonary embolism who presented with acute abdomen. He underwent emergency laparotomy and resection of an ischaemic area of the jejunum. Postoperatively, he had septic shock, acute respiratory distress syndrome and acute kidney injury necessitating continuous renal replacement therapy. We administered antibiotics and therapeutic anticoagulation along with two sessions of haemoadsorption by CytoSorb filter, in conjunction with continuous renal replacement therapy. The patient survived. Bowel ischaemia due to thromboembolic disease should be promptly treated. Extracorporeal blood purification may be useful in managing sepsis in severe COVID-19. Elsevier 2020-11-17 /pmc/articles/PMC7670919/ /pubmed/33224507 http://dx.doi.org/10.1016/j.nmni.2020.100818 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | New Microbes in Humans Alharthy, A. Balhamar, A. Faqihi, F. Nasim, N. Noor, A.F. Alqahtani, S.A. Memish, Z.A. Karakitsos, D. Rare case of COVID-19 presenting as acute abdomen and sepsis |
title | Rare case of COVID-19 presenting as acute abdomen and sepsis |
title_full | Rare case of COVID-19 presenting as acute abdomen and sepsis |
title_fullStr | Rare case of COVID-19 presenting as acute abdomen and sepsis |
title_full_unstemmed | Rare case of COVID-19 presenting as acute abdomen and sepsis |
title_short | Rare case of COVID-19 presenting as acute abdomen and sepsis |
title_sort | rare case of covid-19 presenting as acute abdomen and sepsis |
topic | New Microbes in Humans |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7670919/ https://www.ncbi.nlm.nih.gov/pubmed/33224507 http://dx.doi.org/10.1016/j.nmni.2020.100818 |
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