Case Report
Volume 8 Issue 10 - 2021
Covid-19 Infection Masked as Renal Colic
Ekkehard Pietsch*
Orthopaedic and General Surgeon, Department of Orthopaedic and Trauma, The-Expert-Witness.de, Hamburg, Germany
*Corresponding Author: Ekkehard Pietsch, Orthopaedic and General Surgeon, The-Expert-Witness.de, Hamburg, Germany.
Received: September 03, 2021; Published: September 18, 2021



Abstract

Since the first reported Covid-19 on January 28, 2020 in Germany, the understanding of the disease through Sars-Cov 2 has fundamentally changed. If the pulmonary manifestation was initially considered to be pathognomonic, the clinical presentation changed as the pandemic progressed. We report on a patient with clinical symptoms of a renal colic, in whom a pulmonary manifestation with Covid-19 was noticed more by chance.

Keywords: Covid-19; Kidney Colic; Flank Pain; Pneumonia Under Covid-19

References

  1. Luo S., et al. “Don't Overlook Digestive Symptoms in Patients With 2019 Novel Coronavirus Disease (COVID-19)”. Clinical Gastroenterology and Hepatology 7 (2020): 1636-1637.
  2. Cheung KS., et al. “Gastrointestinal Manifestations of SARS-CoV-2 Infection and Virus Load in Fecal Samples From a Hong Kong Cohort: Systematic Review and Meta-analysis”. Gastroenterology1 (2020): 81-95.
  3. Schmulson M., et al. “Beware: Gastrointestinal symptoms can be a manifestation of COVID-19”. Revista de Gastroenterología de México 3 (2020): 282-287.
  4. Pan L., et al. “Clinical characteristics of COVID-19 patients with digestive symptoms in Hubei, China: a descriptive, cross-sectional, multicenter study”. The American Journal of Gastroenterology 5 (2020): 766-773.
  5. Jaijakul S. “Colitis as a Sole Presentation of SARS-CoV-2 Infection: Case Report”. SN Comprehensive Clinical Medicine 11 (2020): 1-3.
  6. Carvalho A., et al. “SARS-CoV-2 gastrointestinal infection causing hemorrhagic colitis: implications for detection and transmission of COVID-19 disease [preprint]”. The American Journal of Gastroenterology 115 (2020): 942-946.
  7. Guotao L., et al. “SARS-CoV-2 infection presenting with hematochezia”. Médecine et Maladies Infectieuses 3 (2020): 293-296.
  8. Pazgan-Simon M., et al. “Gastrointestinal symptoms as the first, atypical indication of severe acute respiratory syndrome coronavirus 2 infection”. Polish Archives of Internal Medicine 4 (2020): 338-339.
  9. Sellevoll HB., et al. “Acute abdomen as an early symptom of COVID-19”. Journal of the Norwegian Medical Association7 (2020).
  10. Wong SH., et al. “Covid-19 and the digestive system”. Journal of Gastroenterology and Hepatology5 (2020): 744-748.
  11. Guan WJ., et al. “Clinical characteristics of coronavirus disease 2019 in China”. The New England Journal of Medicine (2020).
  12. An P., et al. “Clinical Features of 2019 Novel Coronavirus Pneumonia Presented Gastrointestinal Symptoms But Without Fever Onset”. SSRN Electronic Journal (2020).
  13. Gahide G., et al. “COVID-19 patients presenting with afebrile acute abdominal pain”. Clinical Medicine3 (2020): 4-6.
  14. Widyadharma IPE., et al. “Pain as clinical manifestations of COVID-19 infection and its management in the pandemic era: a literature review”. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery1 (2020): 121.
  15. Li W., et al. “Angiotensin-converting enzyme 2 is a functional receptor for the SARS coronavirus”. Nature 426 (2003): 450-454.
  16. Holshue ML., et al. “First case report of 2019 novel coronavirus in the United States”. The New England Journal of Medicine 382 (2020): 929-936.
  17. Tian Y., et al. “Review article: gastrointestinal features in COVID-19 and the possibility of faecal transmission”. Alimentary Pharmacology and Therapeutics 9 (2020): 843-851.
  18. Xiao F., et al. “Evidence for Gastrointestinal Infection of SARS- CoV-2”. Gastroenterology 158 (2020): 1831-1833.
  19. Wang D., et al. “Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China [published correction appears in JAMA”. JAMA: The Journal of the American Medical Association 11 (2020): 1061-1069.
  20. Wang W., et al. “Detection of SARS-CoV-2 in Different Types of Clinical Specimens”. JAMA: The Journal of the American Medical Association 18 (2020): 1843-1844.
  21. Qi Song., et al. “Point-of-care testing detection methods for COVID-19”. Lab Chip 21 (2021): 1634-1660.
  22. Corman VM., et al. “Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR”. Euro Surveill3 (2020): 2000045.
  23. Schulze-Hagen M., et al. “Low-dose chest CT for the diagnosis of COVID-19—a systematic, prospective comparison with PCR”. Deutsches Ärzteblatt International 117 (2020): 389-395.
  24. Sendi AA., et al. “Incidental typical COVID-19 appearance on the lung bases, visualized at abdominal CT for a patient that presented with abdominal pain and nausea”. Radiology Case Reports 8 (2020): 1238-1241.
  25. Siegel A., et al. “Lung Base Findings of Coronavirus Disease (COVID-19) on Abdominal CT in Patients With Predominant Gastrointestinal Symptoms”. American Journal of Roentgenology 3 (2020): 607-609.
  26. Kim J., et al. “Abdominal and testicular pain: An atypical presentation of COVID-19”. American Journal of Emergency Medicine 7 (2020): 1542.e1-1542.e3.
  27. Dane B., et al. “Unexpected Findings of Coronavirus Disease (COVID-19) at the Lung Bases on Abdominopelvic CT”. AJR 215 (2020): 603-606.
  28. Hossain R., et al. “CT Scans obtained for nonpulmonary indications: associated respiratory findings of COVID-19”. Radiology 296 (2020): E173-E179.
  29. Altermanini M., et al. “A challenging case of COVID-19 infection presented with isolated acute abdominal pain: A case report and literature review”. SAGE Open Medical Case Reports - SAGE Journals 9 (2021): 2050313X20983211.
  30. Amaral LTW., et al. “Abdominal symptoms as initial manifestation of COVID-19: a case series”. Einstein 18 (2020): eRC5831.
Citation: Ekkehard Pietsch. “Covid-19 Infection Masked as Renal Colic”. EC Gastroenterology and Digestive System 8.10 (2021): 40-45.

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