Beware: Gastrointestinal symptoms can be a manifestation of COVID-19

Schmulson, Max; Dávalos, M.F.; Berúmen, Jaime

doi:10.1016/j.rgmxen.2020.04.001

Cited by 59 publications

(83 citation statements)

References 19 publications

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“…Practitioners should be aware that COVID-19 may present with atypical symptoms, including diarrhea, anorexia, anosmia, and multisystem inflammatory disease consisting of but not limited to a rash, lymphadenopathy, swelling of hands and feet, and mucus membrane changes, which have been seen in children and adolescents. [18][19][20][21] If suggestive symptoms or a fever are present, patients should be redirected to an appropriate screening clinic or facility, with appropriate measures taken, including testing for COVID-19, or clinics should follow local policies (Figure 2).…”

Section: Outpatient Care Pathwaysmentioning

confidence: 99%

Guidance for rebooting electrophysiology through the COVID-19 pandemic from the Heart Rhythm Society and the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology

et al. 2020

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Coronavirus disease 2019 (COVID-19) has presented substantial challenges to patient care and impacted health care delivery, including cardiac electrophysiology practice throughout the globe. Based upon the undetermined course and regional variability of the pandemic, there is uncertainty as to how and when to resume and deliver electrophysiology services for arrhythmia patients. This joint document from representatives of the Heart Rhythm Society, American Heart Association, and American College of Cardiology seeks to provide guidance for clinicians and institutions reestablishing safe electrophysiological care. To achieve this aim, we address regional and local COVID-19 disease status, the role of viral screening and serologic testing, return-to-work considerations for exposed or infected health care workers, risk stratification and management strategies based on COVID-19 disease burden, institutional preparedness for resumption of elective procedures, patient preparation and communication, prioritization of procedures, and development of outpatient and periprocedural care pathways.

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Section: Outpatient Care Pathwaysmentioning

confidence: 99%

Guidance for rebooting electrophysiology through the COVID-19 pandemic from the Heart Rhythm Society and the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology

et al. 2020

View full text Add to dashboard Cite

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“…In approximately 10% of cases gastrointestinal symptoms such as loss of appetite, diarrhea, nausea, or vomiting present 1 or 2 days before fever and cough, and virus can be shed in the stool throughout the disease period [ 19 , 20 , 21 ]. When presentation is gastrointestinal in nature, diagnosis may be delayed and viral clearance may be slower to occur compared to those with only upper respiratory symptoms [ 22 , 23 ].…”

Section: Covid-19 Presentationmentioning

confidence: 99%

A Telemedicine Approach to Covid-19 Assessment and Triage

et al. 2020

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Covid-19 is a new highly contagious RNA viral disease that has caused a global pandemic. Human-to-human transmission occurs primarily through oral and nasal droplets and possibly through the airborne route. The disease may be asymptomatic or the course may be mild with upper respiratory symptoms, moderate with non-life-threatening pneumonia, or severe with pneumonia and acute respiratory distress syndrome. The severe form is associated with significant morbidity and mortality. While patients who are unstable and in acute distress need immediate in-person attention, many patients can be evaluated at home by telemedicine or videoconferencing. The more benign manifestations of Covid-19 may be managed from home to maintain quarantine, thus avoiding spread to other patients and health care workers. This document provides an overview of the clinical presentation of Covid-19, emphasizing telemedicine strategies for assessment and triage of patients. Advantages of the virtual visit during this time of social distancing are highlighted.

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“…Researchers at Mount Sinai, in New York published studies suggesting that clots in the lungs play an important role in the most severe cases of COVID-19 [ 4 ]. Regarding the gastrointestinal (GI) tract and liver, over 60% of COVID-19 patients develop GI symptoms such as anorexia, diarrhea, nausea, and vomiting and a significant proportion present with altered liver function tests [ 5 ].…”

Section: Clinical Characteristics and Liver Injury In Patients With Cmentioning

confidence: 99%

SARS-CoV-2 another kind of liver aggressor, how does it do that?

Lozano-Sepúlveda

Galán-Huerta

Martínez-Acuña

et al. 2020

Annals of Hepatology

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Clinical manifestations of SARS-CoV-2 infection include more frequently fever and cough, but complications (such as pneumonia, respiratory distress syndrome, and multiorgan failure) can occur in persons with additional comorbidities. Liver dysfunction is one of the most striking affections among patients suggesting that SARS-CoV-2 may represent a new king of liver aggressor. However, the molecular process underlying this phenomenon is still unclear. In this work, we overview the most recent findings between the molecular biology of the virus, pathogenic mechanisms, and its relationship to liver disease observed in patients.

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Beware: Gastrointestinal symptoms can be a manifestation of COVID-19

Cited by 59 publications

References 19 publications

Guidance for rebooting electrophysiology through the COVID-19 pandemic from the Heart Rhythm Society and the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology

Guidance for rebooting electrophysiology through the COVID-19 pandemic from the Heart Rhythm Society and the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology

A Telemedicine Approach to Covid-19 Assessment and Triage

SARS-CoV-2 another kind of liver aggressor, how does it do that?

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