COVID-19 infection - exclusive gastrointestinal symptoms

Case contributed by Edgar Lorente , 24 Mar 2020
Diagnosis almost certain
Changed by Ian Bickle, 24 Mar 2020

Updates to Case Attributes

Age changed from 77 to 75 years.
Body was changed:

Although the initial clinical suspicion was gastroenteritis ib this case, after the radiological findings PCR was requested for SARS-CoV-2, which was positive.

We present athis case of coronavirus infection to highlight presentation with only gastrointestinal symptoms. Recently, more cases are beinghave been reported in which these symptoms (diarrhea(diarrhoea, nausea, vomiting, fever) precede the respiratory clinic [2]2.

In this case, we show how in these situations the chest X-ray can put in suspicionraise the possibility of coronavirus, allowing an early diagnosis and predictably a better outcome.

Epidemiological context and high clinical suspicion are fundamental aspects for proper diagnosis, so radiologists must be familiar with these subtle findings in plain radiography to contribute to the best possible care in these patients.

  • -<p>We present a case of coronavirus infection with only gastrointestinal symptoms. Recently, more cases are being reported in which these symptoms (diarrhea, nausea, vomiting, fever) precede the respiratory clinic [2].</p><p>In this case we show how in these situations the chest X-ray can put in suspicion the possibility of coronavirus, allowing an early diagnosis and predictably a better outcome.</p><p>Epidemiological context and high clinical suspicion are fundamental aspects for proper diagnosis, so radiologists must be familiar with these subtle findings in plain radiography to contribute to the best possible care in these patients.</p>
  • +<p>Although the initial clinical suspicion was gastroenteritis ib this case, after the radiological findings PCR was requested for SARS-CoV-2, which was positive.</p><p>We present this case of coronavirus infection to highlight presentation with only gastrointestinal symptoms. Recently, more cases have been reported in which these symptoms (diarrhoea, nausea, vomiting, fever) precede the respiratory clinic<sup>2</sup>.</p><p>In this case, we show how in these situations the chest X-ray can raise the possibility of coronavirus, allowing early diagnosis and predictably a better outcome.</p><p>Epidemiological context and high clinical suspicion are fundamental aspects for proper diagnosis, so radiologists must be familiar with these subtle findings in plain radiography to contribute to the best possible care in these patients.</p>

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