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Cytomegalovirus-Induced Gastrointestinal Bleeding and Pancreatitis Complicating Severe Covid-19 Pneumonia: A Paradigmatic Case. | LitMetric

AI Article Synopsis

  • COVID-19 is a new disease with ongoing research into its effects, mostly affecting the respiratory system but also showing significant gastrointestinal symptoms like anorexia, diarrhea, and abdominal pain.
  • Severe cases of COVID-19 can lead to immune system problems, which may increase the risk for other infections.
  • A case is described where a patient with severe COVID-19 pneumonia developed abdominal pain due to cytomegalovirus (CMV) that caused duodenitis and pancreatitis, highlighting the need for vigilance regarding multiple infections in COVID-19 patients.

Article Abstract

COVID-19 is a new pandemic disease whose pathophysiology and clinical description are still not completely defined. Besides respiratory symptoms and fever, gastrointestinal (GI) symptoms (including especially anorexia, diarrhea, and abdominal pain) represent the most frequent clinical manifestations. Emerging data point out that severe SARS-CoV-2 infection causes an immune dysregulation, which in turn may favor other infections. Here we describe a patient with severe COVID-19 pneumonia who developed in the resolving phase abdominal pain associated with cytomegalovirus (CMV)-induced duodenitis with bleeding and pancreatitis. A high level of suspicion toward multiple infections, including CMV, should be maintained in COVID-19 patients with heterogeneous clinical manifestations.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7485475PMC
http://dx.doi.org/10.4084/MJHID.2020.060DOI Listing

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