Acute colonic pseudo-obstruction in two patients admitted with severe acute respiratory syndrome–coronavirus-2 pneumonia
| Autor: | Benny Paul Wilson, Kango Gopal Gopinath, Surekha Viggeswarpu, Stephen Varghese Samuel |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Ogilvie syndrome medicine.medical_specialty Constitutional symptoms Decompression Colon 030106 microbiology Infectious and parasitic diseases RC109-216 Gastroenterology 03 medical and health sciences 0302 clinical medicine Internal medicine medicine 030212 general & internal medicine Colonic distension Case Study business.industry SARS-CoV-2 Standard treatment COVID-19 Hypoxia (medical) medicine.disease digestive system diseases body regions Pneumonia Colonic Pseudo-Obstruction Infectious Diseases medicine.anatomical_structure Abdomen medicine.symptom business Pseudo-obstruction |
| Zdroj: | IDCases, Vol 25, Iss, Pp e01205-(2021) IDCases |
| ISSN: | 2214-2509 |
| Popis: | We have described two cases of severe SARS-CoV-2 pneumonia presenting with acute colonic pseudo-obstruction with normal liver enzymes and serum lactate. These older adults presented predominantly with constitutional symptoms, silent hypoxia, distended abdomen, sluggish bowel sounds, and colonic dilatation supported by abdominal imaging (plain X-ray and computerized tomography of abdomen) to a tertiary care center in South India. Both patients received standard treatment for severe SARS-CoV-2 pneumonia and acute colonic pseudo-obstruction according to available guidelines but succumbed to complications during hospital stay. Acute colonic pseudo-obstruction in patients admitted with SARS-CoV-2 infection requires high index of suspicion as it warrants early mitigation by cessation of offending agents, optimizing electrolytes, and colonic decompression to prevent morbidity and mortality. |
| Databáze: | OpenAIRE |
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