Department of Radiology, School of Medicine, Pamukkale University, 20100 Denizli, Turkey.
Department of Radiology, School of Medicine, Pamukkale University, 20100 Denizli, Turkey.
Am J Emerg Med. 2021 Jul;45:685.e1-685.e3. doi: 10.1016/j.ajem.2020.12.049. Epub 2021 Jan 4.
Neutropenic enterocolitis is also known as typhlitis, is characterized by severe inflammation in the bowel loops. It is often seen in immunosuppressed patients, and it has high morbidity and mortality. Although the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily affects the respiratory system and causes COVID-19 (Coronavirus Disease 2019), it may affect hematopoietic and gastrointestinal systems. Herein, we present a rare case of COVID-19-associated pancytopenia and typhlitis in a 60-year-old female who presented with abdominal pain. Contrast-enhanced abdominal computed tomography (CT) demonstrated the bowel wall thickening in the cecum and ascending colon compatible with enterocolitis. Moreover, the chest CT showed bilateral, peripheral, and multifocal ground-glass opacities, consistent with COVID-19 pneumonia. We also aimed to emphasize the laboratory, clinical, and CT findings of the patient.
中性粒细胞减少性肠炎又称 typhlitis,其特征为肠袢严重炎症。它常发生于免疫抑制患者,且具有高发病率和死亡率。虽然严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)主要影响呼吸系统并导致 COVID-19(2019 年冠状病毒病),但其可能影响造血和胃肠道系统。在此,我们报告了一例罕见的 COVID-19 相关全血细胞减少症和 60 岁女性 typhlitis 病例,该患者以腹痛为表现。增强腹部 CT 显示回肠和升结肠肠壁增厚,符合肠炎表现。此外,胸部 CT 显示双侧、外周、多灶性磨玻璃影,符合 COVID-19 肺炎。我们还旨在强调患者的实验室、临床和 CT 表现。