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10.1136/gutjnl-2020-320926

http://scihub22266oqcxt.onion/10.1136/gutjnl-2020-320926
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32213556!7133387!32213556
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suck abstract from ncbi


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pmid32213556      Gut 2020 ; 69 (6): 1002-1009
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  • Epidemiological, clinical and virological characteristics of 74 cases of coronavirus-infected disease 2019 (COVID-19) with gastrointestinal symptoms #MMPMID32213556
  • Jin X; Lian JS; Hu JH; Gao J; Zheng L; Zhang YM; Hao SR; Jia HY; Cai H; Zhang XL; Yu GD; Xu KJ; Wang XY; Gu JQ; Zhang SY; Ye CY; Jin CL; Lu YF; Yu X; Yu XP; Huang JR; Xu KL; Ni Q; Yu CB; Zhu B; Li YT; Liu J; Zhao H; Zhang X; Yu L; Guo YZ; Su JW; Tao JJ; Lang GJ; Wu XX; Wu WR; Qv TT; Xiang DR; Yi P; Shi D; Chen Y; Ren Y; Qiu YQ; Li LJ; Sheng J; Yang Y
  • Gut 2020[Jun]; 69 (6): 1002-1009 PMID32213556show ga
  • OBJECTIVE: The SARS-CoV-2-infected disease (COVID-19) outbreak is a major threat to human beings. Previous studies mainly focused on Wuhan and typical symptoms. We analysed 74 confirmed COVID-19 cases with GI symptoms in the Zhejiang province to determine epidemiological, clinical and virological characteristics. DESIGN: COVID-19 hospital patients were admitted in the Zhejiang province from 17 January 2020 to 8 February 2020. Epidemiological, demographic, clinical, laboratory, management and outcome data of patients with GI symptoms were analysed using multivariate analysis for risk of severe/critical type. Bioinformatics were used to analyse features of SARS-CoV-2 from Zhejiang province. RESULTS: Among enrolled 651 patients, 74 (11.4%) presented with at least one GI symptom (nausea, vomiting or diarrhoea), average age of 46.14 years, 4-day incubation period and 10.8% had pre-existing liver disease. Of patients with COVID-19 with GI symptoms, 17 (22.97%) and 23 (31.08%) had severe/critical types and family clustering, respectively, significantly higher than those without GI symptoms, 47 (8.14%) and 118 (20.45%). Of patients with COVID-19 with GI symptoms, 29 (39.19%), 23 (31.08%), 8 (10.81%) and 16 (21.62%) had significantly higher rates of fever >38.5 degrees C, fatigue, shortness of breath and headache, respectively. Low-dose glucocorticoids and antibiotics were administered to 14.86% and 41.89% of patients, respectively. Sputum production and increased lactate dehydrogenase/glucose levels were risk factors for severe/critical type. Bioinformatics showed sequence mutation of SARS-CoV-2 with m(6)A methylation and changed binding capacity with ACE2. CONCLUSION: We report COVID-19 cases with GI symptoms with novel features outside Wuhan. Attention to patients with COVID-19 with non-classic symptoms should increase to protect health providers.
  • |*Betacoronavirus[MESH]
  • |*Clinical Laboratory Techniques[MESH]
  • |*Coronavirus Infections/diagnosis/epidemiology/physiopathology/virology[MESH]
  • |*Gastrointestinal Tract/physiopathology/virology[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/diagnosis/epidemiology/physiopathology/virology[MESH]
  • |Adult[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |China[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Risk Factors[MESH]


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