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An Atypical Presentation of COVID-19 in a Previously Healthy Young Male With a Rare Cause of Abdominal Pain

机译:在一个以前健康的年轻男性中的Covid-19的非典型呈现,胃痛难以疼痛

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Coronavirus disease 2019 (COVID-19) is an emerging infectious disease caused by a newly discovered coronavirus that has reached pandemic proportions impacting millions globally. Authors feature an atypical case of COVID-19 presenting with a rare cause of abdominal pain and severe hyperglycemia. A 22-year-old male presented to the hospital with a 1-day history of severe abdominal pain. An abdominal computed tomography (CT) scan revealed findings of epiploic appendagitis (EA) and incidentally noted suspicious pulmonary lesions suggestive of COVID-19. Radiographic findings and distinctive laboratory results led to prompt testing by nasopharyngeal polymerase chain reaction (PCR), which ultimately confirmed the proposed diagnosis. Additionally, a significantly elevated hemoglobin A1c (HbA1c) signified undiagnosed diabetes mellitus. The patient was treated conservatively with supportive measures and made a full recovery. To our knowledge, this is the first case to describe how EA, a rare cause of abdominal pain, indirectly led to the diagnosis of COVID-19.
机译:冠状病毒疾病2019(Covid-19)是一种新兴的传染病,由新发现的冠状病毒引起的冠状病毒,该冠状病毒已达到全球百万的大流行性比例。作者特征是Covid-19的非典型案例,呈现胃痛和严重高血糖症的罕见原因。一名22岁的男性呈现给医院,患有严重腹痛的1天历史。腹部计算断层扫描(CT)扫描显示EPIPLOO阑尾炎(EA)的结果,并偶然地注意到Covid-19的可疑肺病变。射线照相调查结果和独特的实验室结果导致鼻咽聚合酶链反应(PCR)迅速测试,最终确认了所提出的诊断。另外,显着升高的血红蛋白A1C(HBA1C)表示未确诊的糖尿病。患者保守处理支持性措施并完全恢复。为了我们的知识,这是第一种描述ea,胃痛的罕见原因,间接导致Covid-19的诊断。

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