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Clinical characteristics of patients with COVID-19 presenting with gastrointestinal symptoms as initial symptoms: Retrospective case series.
Yang, Tuo-Yun; Li, Yuan-Chao; Wang, Si-Cong; Dai, Qing-Qing; Jiang, Xue-Song; Zuo, Shu; Jia, Liu; Zheng, Jun-Bo; Wang, Hong-Liang.
  • Yang TY; Department of Critical Care Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
  • Li YC; Department of Critical Care Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
  • Wang SC; Department of Critical Care Medicine, the Cancer Hospital of Harbin Medical University, Harbin 150081, Heilongjiang Province, China.
  • Dai QQ; Department of Critical Care Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
  • Jiang XS; Department of Critical Care Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
  • Zuo S; Department of Critical Care Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
  • Jia L; Department of Critical Care Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
  • Zheng JB; Department of Critical Care Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
  • Wang HL; Department of Critical Care Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China. icuwanghongliang@163.com.
World J Clin Cases ; 8(14): 2950-2958, 2020 Jul 26.
Article in English | MEDLINE | ID: covidwho-692833
Semantic information from SemMedBD (by NLM)
1. Lung LOCATION_OF Symptoms
Subject
Lung
Predicate
LOCATION_OF
Object
Symptoms
2. Infected PROCESS_OF Patients
Subject
Infected
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PROCESS_OF
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Patients
3. Gastrointestinal symptom PROCESS_OF Patients
Subject
Gastrointestinal symptom
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PROCESS_OF
Object
Patients
4. COVID-19 PROCESS_OF hospitalized patients
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COVID-19
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PROCESS_OF
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hospitalized patients
5. Symptoms PROCESS_OF Patients
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Symptoms
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Patients
6. Lymphopenia PROCESS_OF Patients
Subject
Lymphopenia
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PROCESS_OF
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Patients
7. COVID-19 PROCESS_OF Patients
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COVID-19
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Patients
8. Lung LOCATION_OF Symptoms
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Lung
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LOCATION_OF
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Symptoms
9. Infected PROCESS_OF Patients
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Infected
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PROCESS_OF
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Patients
10. Gastrointestinal symptom PROCESS_OF Patients
Subject
Gastrointestinal symptom
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PROCESS_OF
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Patients
11. COVID-19 PROCESS_OF hospitalized patients
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COVID-19
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hospitalized patients
12. Symptoms PROCESS_OF Patients
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Symptoms
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Patients
13. Lymphopenia PROCESS_OF Patients
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Lymphopenia
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Patients
14. COVID-19 PROCESS_OF Patients
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COVID-19
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Patients
ABSTRACT

BACKGROUND:

A large number of pneumonia cases due to coronavirus disease 2019 (COVID-19) have been first reported in China. Meanwhile, the virus is sweeping all around the world and has infected millions of people. Fever and pulmonary symptoms have been noticed as major and early signs of infection, whereas gastrointestinal symptoms were also observed in a significant portion of patients. The clinical investigation of disease onset was underestimated, especially due to the neglection of cases presenting with gastrointestinal symptoms.

AIM:

To characterize the clinical features of coronavirus-infected patients with gastrointestinal symptoms as initial symptoms.

METHODS:

This is a retrospective, single-center case series of the general consecutive hospitalized patients with confirmed COVID-19 at Wuhan Union Hospital from February 2, 2020 to February 13, 2020. According to their initial symptoms, these patients were classified into two groups. Patients in group one presented with pulmonary symptoms (PS) as initial symptoms, and group two presented with gastrointestinal symptoms (GS). Epidemiological, demographic, clinical, laboratory, and treatment data were collected for analysis.

RESULTS:

Among the 50 patients recruited, no patient has been admitted to intensive care units, and no patient died during the study. The duration of hospitalization was longer in the GS group than in the PS group (12.13 ± 2.44 vs 10.00 ± 2.13, P < 0.01). All of the 50 patients exhibited decreased lymphocytes. However, lymphocytes in the GS group were significantly lower compared to those in the PS group (0.94 ± 0.06 vs 1.04 ± 0.15, P < 0.01). Procalcitonin and hs-CRP were both significantly higher in the GS group than in the PS group. Accordingly, the duration of viral shedding was significantly longer in the GS group compared to the PS group (10.22 ± 1.93 vs 8.15 ± 1.87, P < 0.01).

CONCLUSION:

COVID-19 patients presenting with gastrointestinal symptoms as initial symptoms need more days of viral shedding and hospitalization than the patients presenting with pulmonary symptoms.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Language: English Journal: World J Clin Cases Year: 2020 Document Type: Article Affiliation country: Wjcc.v8.i14.2950

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Language: English Journal: World J Clin Cases Year: 2020 Document Type: Article Affiliation country: Wjcc.v8.i14.2950