tetano
Editor, Senior Moderator
Eur Urol
. 2020 May 19;S0302-2838(20)30353-5.
doi: 10.1016/j.eururo.2020.05.013. Online ahead of print.
Urinary Frequency as a Possibly Overlooked Symptom in COVID-19 Patients: Does SARS-CoV-2 Cause Viral Cystitis?
Jan-Niclas Mumm[SUP] 1 [/SUP], Andreas Osterman[SUP] 2 [/SUP], Michael Ruzicka[SUP] 3 [/SUP], Clemens Stihl[SUP] 4 [/SUP], Theresa Vilsmaier[SUP] 5 [/SUP], Dieter Munker[SUP] 6 [/SUP], Elham Khatamzas[SUP] 3 [/SUP], Clemens Giessen-Jung[SUP] 3 [/SUP], Christian Stief[SUP] 7 [/SUP], Michael Staehler[SUP] 7 [/SUP], Severin Rodler[SUP] 7 [/SUP]
Affiliations
Abstract
The current coronavirus disease 2019 (COVID-19) pandemic is a challenge for physicians in triaging patients in emergency rooms. We found a potentially dangerous overlap of classical urinary symptoms and the as yet not fully described symptoms of COVID-19. After a patient was primarily triaged as a urosepsis case and then subsequently diagnosed with COVID-19, we focused on an increase in urinary frequency as a symptom of COVID-19 and identified this in seven males out of 57 patients currently being treated in our COVID-19 wards. In the absence of any other causes, urinary frequency may be secondary to viral cystitis due to underlying COVID-19 disease. We propose consideration of urinary frequency as an anamnestic tool in patients with infective symptoms to increase awareness among urologists during the current COVID-19 pandemic to prevent fatal implications of misinterpreting urological symptoms.
Keywords: COVID-19; Triage; Urinary frequency; Urinary infection; Viral cystitis.
. 2020 May 19;S0302-2838(20)30353-5.
doi: 10.1016/j.eururo.2020.05.013. Online ahead of print.
Urinary Frequency as a Possibly Overlooked Symptom in COVID-19 Patients: Does SARS-CoV-2 Cause Viral Cystitis?
Jan-Niclas Mumm[SUP] 1 [/SUP], Andreas Osterman[SUP] 2 [/SUP], Michael Ruzicka[SUP] 3 [/SUP], Clemens Stihl[SUP] 4 [/SUP], Theresa Vilsmaier[SUP] 5 [/SUP], Dieter Munker[SUP] 6 [/SUP], Elham Khatamzas[SUP] 3 [/SUP], Clemens Giessen-Jung[SUP] 3 [/SUP], Christian Stief[SUP] 7 [/SUP], Michael Staehler[SUP] 7 [/SUP], Severin Rodler[SUP] 7 [/SUP]
Affiliations
- PMID: 32475747
- DOI: 10.1016/j.eururo.2020.05.013
Abstract
The current coronavirus disease 2019 (COVID-19) pandemic is a challenge for physicians in triaging patients in emergency rooms. We found a potentially dangerous overlap of classical urinary symptoms and the as yet not fully described symptoms of COVID-19. After a patient was primarily triaged as a urosepsis case and then subsequently diagnosed with COVID-19, we focused on an increase in urinary frequency as a symptom of COVID-19 and identified this in seven males out of 57 patients currently being treated in our COVID-19 wards. In the absence of any other causes, urinary frequency may be secondary to viral cystitis due to underlying COVID-19 disease. We propose consideration of urinary frequency as an anamnestic tool in patients with infective symptoms to increase awareness among urologists during the current COVID-19 pandemic to prevent fatal implications of misinterpreting urological symptoms.
Keywords: COVID-19; Triage; Urinary frequency; Urinary infection; Viral cystitis.