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.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events

January Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the November issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before February 13, 2023.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.