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Lookup NU author(s): Dr Sarah Walpole,
Dr Matthias Schmid
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© 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.
Author(s): Walpole SC, McHugh R, Samuel J, Schmid ML
Publication type: Article
Publication status: Published
Journal: BMJ case reports
Print publication date: 01/06/2020
Online publication date: 16/06/2020
Acceptance date: 22/05/2020
ISSN (electronic): 1757-790X
Publisher: BMJ Group
PubMed id: 32546557
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