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Case Reports
. 2020 Jul;38(7):1542.e1-1542.e3.
doi: 10.1016/j.ajem.2020.03.052. Epub 2020 Mar 31.

Abdominal and testicular pain: An atypical presentation of COVID-19

Jesi Kim  1 , Todd Thomsen  2 , Naomi Sell  3 , Andrew J Goldsmith  4
Affiliations
Case Reports

Abdominal and testicular pain: An atypical presentation of COVID-19

Jesi Kim et al. Am J Emerg Med. 2020 Jul.

Abstract

The outbreak of a novel coronavirus disease (COVID-19) has been of concern to health care workers (HCW's) in the emergency department (ED) due to potential exposure and transmission. This case report describes a man who was referred to the ED for abdominal and testicular pain who was subsequently found to test positive for COVID-19. Due to the lack of respiratory symptoms, proper protective equipment (PPE) was not donned, and it led to several patients and health care workers being exposed. Given recent new descriptions of patients who present atypically, full PPE for all patients may be considered as community spread increases.

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Conflict of interest statement

Declaration of competing interest The authors report no conflict of interest.

Figures

Fig. 1
Fig. 1
Normal chest radiograph of both (A) posterior-anterior (B) and lateral view.
Fig. 2
Fig. 2
Computed tomography of patient with GGO in the posterior right lower lobe and consolidation in the right middle lobe (i.e. arrow).
Fig. 3
Fig. 3
Computed tomography of patient with mild colonic mural thickening in the sigmoid colon (i.e. arrow).
See this image and copyright information in PMC

Comment in

  • Atypical presentation of COVID-19.
    Joob B, Wiwanitkit V. Joob B, et al. Am J Emerg Med. 2021 Jan;39:237. doi: 10.1016/j.ajem.2020.05.019. Epub 2020 May 11. Am J Emerg Med. 2021. PMID: 32444295 Free PMC article. No abstract available.

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