Klinik und Poliklinik für Urologie, Klinikum der Universität München, Munich, Germany.
National Reference Center for Retroviruses, Max von Pettenkofer Institute and Gene Center, Faculty of Medicine, LMU München, Munich, Germany; German Center for Infection Research, Munich Partner Site, Munich, Germany.
Eur Urol. 2020 Oct;78(4):624-628. doi: 10.1016/j.eururo.2020.05.013. Epub 2020 May 19.
The current coronavirus disease 2019 (COVID-19) pandemic is a challenge for physicians in triaging patients in emergency rooms. We found a potentially dangerous overlap of classical urinary symptoms and the as yet not fully described symptoms of COVID-19. After a patient was primarily triaged as a urosepsis case and then subsequently diagnosed with COVID-19, we focused on an increase in urinary frequency as a symptom of COVID-19 and identified this in seven males out of 57 patients currently being treated in our COVID-19 wards. In the absence of any other causes, urinary frequency may be secondary to viral cystitis due to underlying COVID-19 disease. We propose consideration of urinary frequency as an anamnestic tool in patients with infective symptoms to increase awareness among urologists during the current COVID-19 pandemic to prevent fatal implications of misinterpreting urological symptoms.
当前的 2019 年冠状病毒病（COVID-19）大流行对急诊科分诊患者的医生来说是一个挑战。我们发现了经典的尿路症状与尚未完全描述的 COVID-19 症状之间存在潜在的危险重叠。在患者最初被分诊为脓毒症病例，随后被诊断为 COVID-19 后，我们将尿频作为 COVID-19 的一个症状，并在我们的 COVID-19 病房中正在治疗的 57 名患者中的 7 名男性中发现了这一症状。在没有其他原因的情况下，尿频可能是继发于潜在 COVID-19 疾病引起的病毒性膀胱炎。我们建议在有感染症状的患者中考虑尿频作为病史工具，以提高泌尿科医生在当前 COVID-19 大流行期间的认识，以防止因误解泌尿科症状而产生致命后果。
