Meloy Patrick, Bhambri Amit
Emergency Medicine, Emory University School of Medicine, Atlanta, USA.
Emergency Medicine, Swedish Hospital - Part of NorthShore University HealthSystem, Chicago, USA.
Cureus. 2020 Dec 24;12(12):e12256. doi: 10.7759/cureus.12256.
Emergency departments (EDs) are the primary driver for hospital admissions in the United States (US), and that trend is likely to continue through the ongoing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. As the US continues to experience rampant community spread, coronavirus disease 2019 (COVID-19) will likely present in increasingly variable ways to the EDs. We present a case of Mallory-Weiss tear and esophageal perforation, which was likely caused by COVID-19 pneumonia. This case is notably the first of its kind that we have seen reported in the COVID-19-related literature. Clinicians should be vigilant about the various complications of COVID-19 and continue to exercise caution when seeing and treating these patients.
急诊科是美国医院收治患者的主要驱动因素，而且在持续的严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行期间，这一趋势可能会持续下去。随着美国社区传播持续猖獗，2019冠状病毒病（COVID-19）可能会以越来越多样化的方式出现在急诊科。我们报告一例马洛里-魏斯撕裂和食管穿孔病例，可能由COVID-19肺炎引起。该病例显然是我们在COVID-19相关文献中首次见到报道的此类病例。临床医生应警惕COVID-19的各种并发症，在接诊和治疗这些患者时继续保持谨慎。
