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Published on: December 19, 2020
Aortitis in COVID-19
Pravash Dhakal1, Sushmita Khadka1, Jackie A Clowes2
1Department of Hospital Medicine, Guthrie Robert Packer Hospital, Sayre, PA, USA.
Insights
The COVID-19 pandemic has caused millions of deaths globally. This report details a rare case where COVID-19 presented with abdominal pain due to aortitis, highlighting unpredictable disease manifestations.
Area of Science:
- Infectious Diseases
- Cardiovascular Medicine
- Gastroenterology
Background:
- The COVID-19 pandemic has impacted millions globally, with initial presentations often including fever and cough.
- COVID-19 (Coronavirus Disease 2019) exhibits diverse clinical manifestations beyond respiratory symptoms.
- Reported complications span gastrointestinal, neurological, and cardiovascular systems.
Observation:
- Initial COVID-19 presentations commonly included fever (88.7%), cough (67%), and chest imaging abnormalities (56.4%).
- Patient presentations have become increasingly variable and unpredictable over time.
- Gastrointestinal symptoms like abdominal pain, diarrhea, and loss of taste are recognized COVID-19 manifestations.
Findings:
- This case report focuses on an unusual presentation of COVID-19.
- The patient presented with abdominal pain attributed to aortitis, a rare complication.
- Aortitis, an inflammation of the aorta, is an uncommon manifestation of COVID-19.
Implications:
- This case underscores the unpredictable and diverse clinical spectrum of COVID-19.
- Recognizing rare presentations like aortitis is crucial for timely diagnosis and management.
- Further research into the cardiovascular complications of COVID-19 is warranted.
Abstract:
Corona Virus Disease of 2019 (COVID-19) pandemic has affected more than 67.9 million individuals world-wide and led to more than 15.5 million Deaths. In the initial studies from China, 88.7 % of the patient were noted to have fever, 67 % of the patient had cough and 56.4 % had ground glass changes on the chest imaging. With time, the presentation of patients has been found to be highly variable and unpredictable. COVID-19 is reported to present with various complications, ranging from gastrointestinal (GI) manifestations, such as loss of sensation of taste, abdominal pain, diarrhea, vomiting, pancreatitis and hepatobiliary disease, to neurological manifestations of encephalitis and stroke, and cardiovascular manifestations like myocarditis, heart failure and arrythmia. We report a rare case of COVID-19 presenting with abdominal pain from aortitis.
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