Wahab Sardam Faraidon, Løgstrup Brian Bridal
General Medicine, Hospitalsenhed Midt, Viborg, Denmark
Cardiology, Aarhus University Hospital, Aarhus N, Denmark.
BMJ Case Rep. 2020 Aug 27;13(8):e237520. doi: 10.1136/bcr-2020-237520.
During the previous months, we have seen the rapid pandemic spread of SARS-CoV-2. Despite being considered a respiratory virus, it has become clear that other clinical presentations are possible and some of these are quite frequent. In this paper, a case of a man in his late 70s showing atypical symptoms in general practice is presented. Apart from fever, the patient complained of diarrhoea, borborygmus, loss of appetite and nausea. He developed no respiratory symptoms during his disease. Due to his symptoms, malignant disease was suspected, and he was referred for further testing which revealed typical COVID-19 findings on a chest CT scan. The occurrence of atypical symptoms is discussed, including the importance of recognising these in an ongoing pandemic.
在过去几个月里，我们目睹了严重急性呼吸综合征冠状病毒2（SARS-CoV-2）在全球迅速传播。尽管它被认为是一种呼吸道病毒，但很明显它还可能有其他临床表现，其中一些表现相当常见。本文介绍了一名70多岁男性在全科医疗中出现非典型症状的病例。除发烧外，患者还主诉腹泻、肠鸣、食欲不振和恶心。他在患病期间未出现呼吸道症状。由于他的症状，怀疑患有恶性疾病，于是他被转诊进行进一步检查，胸部CT扫描显示出典型的2019冠状病毒病（COVID-19）表现。本文讨论了非典型症状的发生情况，包括在持续的疫情中识别这些症状的重要性。
