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10.1016/j.nmni.2020.100818

http://scihub22266oqcxt.onion/10.1016/j.nmni.2020.100818
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33224507!7670919!33224507
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suck abstract from ncbi

pmid33224507      New+Microbes+New+Infect 2020 ; 38 (?): 100818
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  • Rare case of COVID-19 presenting as acute abdomen and sepsis #MMPMID33224507
  • Alharthy A; Balhamar A; Faqihi F; Nasim N; Noor AF; Alqahtani SA; Memish ZA; Karakitsos D
  • New Microbes New Infect 2020[Nov]; 38 (?): 100818 PMID33224507show ga
  • Coronavirus disease 2019 (COVID-19) may present as acute abdomen, although the pathophysiology remains obscure. We report the case of a 45-year-old-man with severe COVID-19 pneumonia with associated pulmonary embolism who presented with acute abdomen. He underwent emergency laparotomy and resection of an ischaemic area of the jejunum. Postoperatively, he had septic shock, acute respiratory distress syndrome and acute kidney injury necessitating continuous renal replacement therapy. We administered antibiotics and therapeutic anticoagulation along with two sessions of haemoadsorption by CytoSorb filter, in conjunction with continuous renal replacement therapy. The patient survived. Bowel ischaemia due to thromboembolic disease should be promptly treated. Extracorporeal blood purification may be useful in managing sepsis in severe COVID-19.
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