Evidence map›Paper›PMID 32522754›Full record

ArticleBMJ open gastroenterology2020

Pneumatosis intestinalis in COVID-19.

Simone Meini, Chiara Zini, Maria Teresa Passaleva, Anna Frullini, Francesca Fusco, Roberto Carpi, Fiorella Piani

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMJ open gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Review
  6. Review
  7. SARS-CoV-2 and gastrointestinal diseases.Frontiers in microbiology · 2023
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
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  14. GASTROINTESTINAL COMPLICATIONS OF CORONAVIRUS DISEASE (COVID-19).Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022
    Review
  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Simone MeiniMedicina Interna, Azienda USL Toscana centro, Ospedale Santa Maria Annunziata, Firenze, Italy simonemeini2@gmail.com.ORCID 0000-0002-8711-8305
Chiara ZiniRadiologia, Azienda USL Toscana centro, Ospedale Santa Maria Annunziata, Firenze, Italy.
Maria Teresa PassalevaMedicina Interna, Azienda USL Toscana centro, Ospedale Santa Maria Annunziata, Firenze, Italy.
Anna FrulliniMedicina Interna, Azienda USL Toscana centro, Ospedale Santa Maria Annunziata, Firenze, Italy.
Francesca FuscoRadiologia, Azienda USL Toscana centro, Ospedale Santa Maria Annunziata, Firenze, Italy.
Roberto CarpiRadiologia, Azienda USL Toscana centro, Ospedale Santa Maria Annunziata, Firenze, Italy.
Fiorella PianiMedicina Interna, Azienda USL Toscana centro, Ospedale Santa Maria Annunziata, Firenze, Italy.
Ospedale Santa Maria Annunziata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCOVID-19 is a respiratory illness due to novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), described in December 2019 in Wuhan (China) and rapidly evolved into a pandemic. Gastrointestinal (GI) tract can also be involved. CASE PRESENTATION: A 44-year-old man was hospitalised for COVID-19-associated pneumonia. A rapid recovery of respiratory and general symptoms was observed after 1 week of treatment with lopinavir/ritonavir plus hydroxychloroquine and broad-spectrum antibiotics (piperacillin-tazobactam plus teicoplanin). No GI symptoms were reported during hospitalisation, but a lung contrast-enhancement CT (CE-CT) excluding thromboembolism showed, as collateral finding, intraperitoneal free bubbles not present on a previous CT examination; the subsequent abdominal CE-CT described pneumatosis intestinalis (PI) involving the caecum and the right colon. Ciprofloxacin plus metronidazole was started, and the 2-week follow-up CT showed the complete resolution of PI. DISCUSSION: The pathogenesis of PI is poorly understood. PI involving the caecum and right colon has been described for HIV and Cytomegalovirus infections, but, to our best knowledge, never before in COVID-19. We hypothesise a multifactorial aetiopathogenesis for PI, with a possible role of the bowel wall damage and microbiota impairment due to SARS-CoV-2 infection, and we suggest a conservative management in the absence of symptoms.

Indexed as

BetacoronavirusAdultAnti-Bacterial AgentsAntiviral AgentsCoronavirus InfectionsCOVID-19Drug Therapy, CombinationHumansMalePandemicsPneumatosis Cystoides IntestinalisPneumonia, ViralSARS-CoV-2Anti-Bacterial AgentsAntiviral Agentsbacterial overgrowthclinical decision makingcolonic diseasescolonic microflorainfectious disease

Identifiers

PMID32522754
PMCPMC7287500
OpenAlexW3033170544

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.