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COVID-19 presenting as severe, persistent abdominal pain and causing late respiratory compromise in a 33-year-old man

Lookup NU author(s): Dr Sarah Walpole, Dr Matthias Schmid

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Abstract

© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.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.

Publication metadata

Author(s): Walpole SC, McHugh R, Samuel J, Schmid ML

Publication type: Article

Publication status: Published

Journal: BMJ case reports

Year: 2020

Volume: 13

Issue: 6

Print publication date: 01/06/2020

Online publication date: 16/06/2020

Acceptance date: 22/05/2020

ISSN (electronic): 1757-790X

Publisher: BMJ Group

URL: https://doi.org/10.1136/bcr-2020-236030

DOI: 10.1136/bcr-2020-236030

PubMed id: 32546557

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