Evidence map›Paper›PMID 33224507›Full record

ArticleNew microbes and new infections2020

Rare case of COVID-19 presenting as acute abdomen and sepsis.

A Alharthy, A Balhamar, F Faqihi, N Nasim, A F Noor, S A Alqahtani, Z A Memish, D Karakitsos

Open access · goldAbstract read
In one paragraph

Article in New microbes and new infections, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Bowel ischemia in COVID-19: A systematic review.International journal of clinical practice · 2021
    Pooled it
  3. Review
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

8 authors at 3 institutions in 2 countries.

A AlharthyCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
A BalhamarCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
F FaqihiCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
N NasimCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
A F NoorCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
S A AlqahtaniDepartment of Medicine, The Johns Hopkins University Hospital, Baltimore, MD, USA.
Z A MemishResearch & Innovation Centre, King Saud Medical City, Riyadh, Saudi Arabia.
D KarakitsosCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
King Saud Medical City · SAJohns Hopkins University · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) may present as acute abdomen, although the pathophysiology remains obscure. We report the case of a 45-year-old-man with severe COVID-19 pneumonia with associated pulmonary embolism who presented with acute abdomen. He underwent emergency laparotomy and resection of an ischaemic area of the jejunum. Postoperatively, he had septic shock, acute respiratory distress syndrome and acute kidney injury necessitating continuous renal replacement therapy. We administered antibiotics and therapeutic anticoagulation along with two sessions of haemoadsorption by CytoSorb filter, in conjunction with continuous renal replacement therapy. The patient survived. Bowel ischaemia due to thromboembolic disease should be promptly treated. Extracorporeal blood purification may be useful in managing sepsis in severe COVID-19.

Indexed as

Acute abdomenCOVID-19extracorporeal blood purification therapiessepsisthromboembolic disease

Identifiers

PMID33224507
PMCPMC7670919
OpenAlexW3099359503

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.