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MeSH Disease

Human Phenotype

Transmission

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    Duodenal Perforation Caused Septic Shock MESHD Shock HP: a Rare Case Combined With Coronavirus Disease MESHD 2019

    Authors: Huanhuan Guo; Jing Hu; Yunxiang Li; Wei Xiang; Quan Gan

    doi:10.21203/rs.3.rs-48918/v1 Date: 2020-07-25 Source: ResearchSquare

    Background: Duodenal perforation is one of the rarer causes of acute abdomen MESHD in pregnancy, which is especially easy to be overlooked during the outbreak of 2019 novel coronavirus (2019-nCoV) after delivery.Case presentation: Here, we report a case of duodenal perforation-induced septic shock MESHD shock HP with coronavirus disease MESHD 2019 (COVID-19), and the patient underwent emergency MESHD laparotomy after reporting to the hospital management department under strict protection. Her recovery in postoperative period in Medical Intensive Care Unit (MICU) was uneventful and she was transferred to a designated hospital for treatment of COVID-19 5 days later.Conclusions: The establishment of emergency MESHD green channel for maternal health care, and timely and comprehensive multidisciplinary cooperation during the epidemic period, strengthen the standardized management of high-risk pregnancy, and better guarantee the safety of mothers and infants.

    COVID Abdomen: SARS-CoV-2 Infection MESHD presenting as ' Acute Abdomen MESHD' in a Child TRANS

    Authors: Muthiah Periyakaruppan; Sandip Kumar; Sasidaran Kandasamy; Anand Thiagarajan; Thangavelu Sangaralingam; Nandhini Ganapathy

    doi:10.21203/rs.3.rs-35865/v1 Date: 2020-06-16 Source: ResearchSquare

    Despite lesser incidence and disease MESHD severity of COVID-19 in children TRANS, growing evidence of heterogeneity in clinical presentation viz., extra-pulmonary manifestations and inflammatory syndromes MESHD emphasize the importance to understand atypical presentations. We describe an 11-year-old boy presented with fever MESHD fever HP, loose stool, transient maculopapular rash over both feet, severe abdominal pain MESHD abdominal pain HP with guarding suggestive of the acute abdomen MESHD that later turned out to be COVID-19 positive in the second RT-PCR swab based on suggestive lab parameters and high clinical suspicion. The child TRANS didn't have respiratory symptoms, and both parents TRANS were tested negative for COVID. Our case brief depicts one of the uncommon presentations – ' Acute Abdomen MESHD' of this novel virus infection MESHD in children TRANS, unravels the difficulties in reaching the diagnosis and discuss the treatment dilemmas involved in these hyper-inflammatory presentations. We hope this case would sensitize the paediatricians, pediatric surgeons to suspect COVID-19 in such conditions, especially before proceeding for surgical exploration.

    Covid-19 infection MESHD without respiratory symptoms: case report of diagnosing a 14 year-old patient with acute abdomen MESHD

    Authors: Ladan Goshayeshi; Nasrin Milani; Robert Bergqueist; Sayyed Majid Sadrzadeh; Farnood Rajabzadeh; Benyamin Hoseini

    doi:10.21203/rs.3.rs-27389/v1 Date: 2020-05-07 Source: ResearchSquare

    Background. Coronavirus Disease MESHD 2019 (Covid-19) is expanding worldwide. Although it seems to be a purely respiratory disease MESHD, occasional reports of lesions in other organs have been published. We report here an asymptomatic TRANS child TRANS Covid-19 patient with the main symptom of abdominal HP abdominal pain MESHD pain HP distension and without any respiratory symptoms.Case presentation. A 14 year-old male TRANS patient without respiratory involvement but with main complaints of fever MESHD fever HP, malaise, anorexia MESHD anorexia HP, and severe abdominal pain MESHD abdominal pain HP was admitted to a hospital in Mashhad, Iran. Following general anaesthesia, laparotomy revealed distension of the small intestine and an adhesive ileo-caecal band that had produced ileum herniation without free fluid in the abdomen. The band was surgically severed and the patient referred to the recovery room.  Because of pulse rate of 36-40 per min and respiratory rate of 140 and a saturated O2 of 86%, the patient was referred to the intensive care unit. Chest X-ray and high-resolution computed tomography of the lungs showed bilateral, diffuse, peripheral dense areas of ground-glass appearance. A nasopharyngeal swab for Covid-19 diagnosis, ordered due to lymphopenia MESHD lymphopenia HP together with these diffuse lung infiltrations, showed a positive result. This led to drug treatment with lopinavir/ritonavir, hydroxychloroquine, ribavirin/oseltamivir and meropenem. The patient was febrile and developed tachycardia MESHD tachycardia HP on the third day accompanied with a respiratory rate of 44/min. At this point, tracheal intubation was done but the patient died after 3 hours due to cardiac arrest HP.Conclusions. The case report brings forth the hypothesis that the gastrointestinal manifestation may be untypical symptoms of Covid-19 infection MESHD, and highlights the importance for the diagnosis to be based on combined laboratory-based data and scanning imagery.

The ZB MED preprint Viewer preVIEW includes all COVID-19 related preprints from medRxiv and bioRxiv, from ChemRxiv, from ResearchSquare, from arXiv and from Preprints.org and is updated on a daily basis (7am CET/CEST).

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MeSH Disease
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