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Appendicitis as a presentation of COVID-19: A case report
BACKGROUND: Coronavirus disease-19 (COVID-19) is an infectious respiratory disease caused by Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2). Respiratory symptoms and flu-like presentation are the most defined clinical manifestations. However, gastrointestinal symptoms with acute abdom...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8372448/ https://www.ncbi.nlm.nih.gov/pubmed/34422263 http://dx.doi.org/10.1016/j.amsu.2021.102719 |
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author | Malbul, Kiran Katwal, Srijana Maharjan, Swojay Shrestha, Suraj Dhital, Roman Rajbhandari, Ashish Prasad |
author_facet | Malbul, Kiran Katwal, Srijana Maharjan, Swojay Shrestha, Suraj Dhital, Roman Rajbhandari, Ashish Prasad |
author_sort | Malbul, Kiran |
collection | PubMed |
description | BACKGROUND: Coronavirus disease-19 (COVID-19) is an infectious respiratory disease caused by Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2). Respiratory symptoms and flu-like presentation are the most defined clinical manifestations. However, gastrointestinal symptoms with acute abdomen have been reported in a small percentage, occasionally mimicking acute appendicitis. Hence, the diagnosis of COVID-19 should be suspected and investigated in every case of acute abdomen in the present situation. CASE PRESENTATION: We report a case of a 25-year-old male who presented with features of acute appendicitis. Despite the equivocal ultrasound results, he was scheduled for an emergency appendectomy for Alvarado's score 7 out of 10, who underwent a successful appendectomy. The patient had initially tested negative on an upper respiratory COVID-19 reverse transcription-polymerase chain reaction (RT-PCR) with normal chest X-ray but few hours after the surgery patient developed a high-grade fever. An RT-PCR for COVID-19 was resent following a suspicion that came out to be positive. CLINICAL DISCUSSION: Several case reports have suggested a probable association between COVID-19 and appendicitis. This case shows the limited effectiveness of clinical diagnosis for the surgical abdomen in COVID-19 patients as these two conditions share similar symptoms often needing a clinical vigilance. CONCLUSION: This case reports acute appendicitis in a patient who tested positive for SARS-CoV-2 subsequently following emergency appendectomy highlighting the acute gastrointestinal presentation of COVID-19. This case exemplifies the necessity to be familiar with the gastrointestinal symptoms of COVID-19 and maintain a high level of suspicion for COVID-19 infection in cases of abdominal pain. |
format | Online Article Text |
id | pubmed-8372448 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-83724482021-08-18 Appendicitis as a presentation of COVID-19: A case report Malbul, Kiran Katwal, Srijana Maharjan, Swojay Shrestha, Suraj Dhital, Roman Rajbhandari, Ashish Prasad Ann Med Surg (Lond) Case Report BACKGROUND: Coronavirus disease-19 (COVID-19) is an infectious respiratory disease caused by Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2). Respiratory symptoms and flu-like presentation are the most defined clinical manifestations. However, gastrointestinal symptoms with acute abdomen have been reported in a small percentage, occasionally mimicking acute appendicitis. Hence, the diagnosis of COVID-19 should be suspected and investigated in every case of acute abdomen in the present situation. CASE PRESENTATION: We report a case of a 25-year-old male who presented with features of acute appendicitis. Despite the equivocal ultrasound results, he was scheduled for an emergency appendectomy for Alvarado's score 7 out of 10, who underwent a successful appendectomy. The patient had initially tested negative on an upper respiratory COVID-19 reverse transcription-polymerase chain reaction (RT-PCR) with normal chest X-ray but few hours after the surgery patient developed a high-grade fever. An RT-PCR for COVID-19 was resent following a suspicion that came out to be positive. CLINICAL DISCUSSION: Several case reports have suggested a probable association between COVID-19 and appendicitis. This case shows the limited effectiveness of clinical diagnosis for the surgical abdomen in COVID-19 patients as these two conditions share similar symptoms often needing a clinical vigilance. CONCLUSION: This case reports acute appendicitis in a patient who tested positive for SARS-CoV-2 subsequently following emergency appendectomy highlighting the acute gastrointestinal presentation of COVID-19. This case exemplifies the necessity to be familiar with the gastrointestinal symptoms of COVID-19 and maintain a high level of suspicion for COVID-19 infection in cases of abdominal pain. Elsevier 2021-08-18 /pmc/articles/PMC8372448/ /pubmed/34422263 http://dx.doi.org/10.1016/j.amsu.2021.102719 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Malbul, Kiran Katwal, Srijana Maharjan, Swojay Shrestha, Suraj Dhital, Roman Rajbhandari, Ashish Prasad Appendicitis as a presentation of COVID-19: A case report |
title | Appendicitis as a presentation of COVID-19: A case report |
title_full | Appendicitis as a presentation of COVID-19: A case report |
title_fullStr | Appendicitis as a presentation of COVID-19: A case report |
title_full_unstemmed | Appendicitis as a presentation of COVID-19: A case report |
title_short | Appendicitis as a presentation of COVID-19: A case report |
title_sort | appendicitis as a presentation of covid-19: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8372448/ https://www.ncbi.nlm.nih.gov/pubmed/34422263 http://dx.doi.org/10.1016/j.amsu.2021.102719 |
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