Department of General Surgery, the First Affiliated Hospital of Anhui Medical University, 218, Jixi road, Hefei, China.
Department of Chinese Medicine, the First Affiliated Hospital of Anhui Medical University, 218, Jixi road, Hefei, China.
Clin Res Hepatol Gastroenterol. 2020 Oct;44(5):e109-e112. doi: 10.1016/j.clinre.2020.03.013. Epub 2020 Apr 15.
Since Dec 2019, a cluster of pneumonia outbreak in Wuhan, Hubei province, China, and soon spread to all province of China. The pathogen was proved to be a novel betacoronavirus called 2019 novel coronavirus (officially named by the World Health Organization as COVID-19). The typical clinical manifestations were fever, cough, dyspnea, and myalgia or fatigue. Less common symptoms included headache, diarrhea, nausea and vomiting. However diarrhea as the first symptom is rarely reported. Here we reported a case of 2019 novel coronavirus-infected patient (NCIP) with diarrhea as the initial symptom. Image of CT scan and laboratory examination and careful collected as well as detection of viral RNA in pharynx. The case demonstrate that gastrointestinal symptoms ware not rare in NCIP, and diarrhea could be the initial symptom.
自 2019 年 12 月以来，中国湖北省武汉市发生了一系列肺炎疫情，很快蔓延到中国所有省份。病原体被证明是一种新型冠状病毒，称为 2019 年新型冠状病毒（世界卫生组织正式命名为 COVID-19）。典型的临床症状是发热、咳嗽、呼吸困难和肌痛或疲劳。较少见的症状包括头痛、腹泻、恶心和呕吐。然而，以腹泻为首发症状的病例很少报道。在这里，我们报告了一例以腹泻为首发症状的 2019 年新型冠状病毒感染患者（NCIP）。对 CT 扫描图像、实验室检查和仔细采集以及咽拭子病毒 RNA 检测进行了描述。该病例表明，胃肠道症状在 NCIP 中并不罕见，腹泻可能是首发症状。
