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Clin Res Hepatol Gastroenterol Atypical Presentations of Coronavirus Disease 2019 in a Patient With Acute Obstructive Suppurative Cholangitis

tetano

Editor, Senior Moderator
Clin Res Hepatol Gastroenterol


. 2020 May 21;S2210-7401(20)30141-8.
doi: 10.1016/j.clinre.2020.05.003. Online ahead of print.
Atypical Presentations of Coronavirus Disease 2019 in a Patient With Acute Obstructive Suppurative Cholangitis


Lu-Lu Zhai[SUP] 1 [/SUP], Feng Xiang[SUP] 1 [/SUP], Wei Wang[SUP] 1 [/SUP], Lun Wu[SUP] 1 [/SUP], Lin Ye[SUP] 1 [/SUP], Li-Chao Yao[SUP] 1 [/SUP], Zhi-Gang Tang[SUP] 2 [/SUP]



Affiliations

Abstract

During the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) outbreak in Wuhan, China, we experienced a case of SARS-CoV-2 infection with atypical presentations in a patient with acute obstructive suppurative cholangitis (AOSC), who was initially admitted with jaundice and fever. The patient had no other typical symptoms of COVID-19 such as cough, dyspnea, nausea, vomiting, abdominal pain and diarrhea except for fever, but her epidemiological history was clear. COVID-19 was finally confirmed by repeated viral nucleic acid testing, but her repetitive lungs CT imaging findings had been atypical. After endoscopic-related operations and antiviral treatment, the patient was subsequently recovered and discharged. This particular case is being reported to provide a reference and guidance for the diagnosis and management of COVID-19 in AOSC.

Keywords: AOSC; Acute obstructive suppurative cholangitis; COVID-19; SARS-CoV-2.
 
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