Evidence map›Paper›PMID 34437741›Full record

ArticleJournal of internal medicine2022

Bowel ischemia as onset of COVID-19 in otherwise asymptomatic patients with persistently negative swab.

Paolo Zamboni, Daria Bortolotti, Savino Occhionorelli, Luca Traina, Luca Maria Neri, Roberta Rizzo, Roberta Gafà, Angelina Passaro

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Journal of internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. SARS-CoV-2 and gastrointestinal diseases.Frontiers in microbiology · 2023
    Review
  6. Article
  7. Article
  8. 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 2 institutions in 1 country.

Paolo ZamboniDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.
Daria BortolottiDepartment of Chemical and Pharmaceutical Sciences, University of Ferrara, Ferrara, Italy.
Savino OcchionorelliDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.
Luca TrainaDepartment of Surgery, University Hospital of Ferrara Arcispedale Sant'Anna, Ferrara, Italy.
Luca Maria NeriDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.
Roberta RizzoDepartment of Surgery, University Hospital of Ferrara Arcispedale Sant'Anna, Ferrara, Italy.
Roberta GafàDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.
Angelina PassaroDepartment of Translational Medicine, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-8462-7000
University of Ferrara · ITArcispedale Sant'Anna · IT

Funding

crowdfunding campaign from University of Ferrara
6 · The paper itself

Abstract

backgroundAsymptomatic patients with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) can develop hypercoagulable conditions and acute vascular events. The objective of this study is to determine whether SARS-CoV-2 was present in resected specimens from patients with acute bowel ischemia, but asymptomatic for Coronavirus Disease 2019 (COVID-19) and with persistently real-time polymerase chain reaction negative pharyngeal swab.

methodsThree consecutive patients presented severe abdominal symptoms due to extensive ischemia and necrosis of the bowel, with co-existent thrombosis of abdominal blood vessels. None had the usual manifestations of COVID-19, and repeated pharyngeal swabs tested negative. They underwent emergency surgery with intestinal resection. Immunohistochemical testing for SARS-CoV-2 on resected tissue was performed.

resultsAll tested samples were strongly positive for SARS-CoV-2.

conclusionsThis is the first case report in which patients with severe intestinal symptoms presented a marked SARS-CoV-2 positivity in the resected tissues, without any usual clinical manifestations of COVID-19. These results suggest that the patients might be infected with SARS-CoV-2 presenting acute abdominal distress but without respiratory or constitutional symptoms.

Indexed as

COVID-19IschemiaHumansIntestine, LargeNecrosisReal-Time Polymerase Chain ReactionSARS-CoV-2Thrombosisbowel ischemiaCOVID-19SARS-CoV-2vascular event

Identifiers

PMID34437741
PMCPMC8662187
OpenAlexW3194395861

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.