A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions
A 70-year-old man was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia. Twenty-six days after admission, he experienced hematemesis despite improvement in his respiratory symptoms. Contrast-enhanced computed tomography revealed edematous stomach wall thickening with neither ischemic find...
Gespeichert in:
| Veröffentlicht in: | Internal Medicine 2021/11/01, Vol.60(21), pp.3421-3426 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 3426 |
|---|---|
| container_issue | 21 |
| container_start_page | 3421 |
| container_title | Internal Medicine |
| container_volume | 60 |
| creator | Kawabata, Hideaki Yamaguchi, Katsutoshi Ueda, Yuki Shinomiya, Ryo Okazaki, Yuji Yamamoto, Tetsuya Nakase, Kojiro Miyata, Masatoshi Motoi, Shigehiro Enoki, Yasuyuki Minamikawa, Tetsuhiro |
| description | A 70-year-old man was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia. Twenty-six days after admission, he experienced hematemesis despite improvement in his respiratory symptoms. Contrast-enhanced computed tomography revealed edematous stomach wall thickening with neither ischemic findings in the gastric wall nor obstruction of the gastric artery. Emergent esophagogastroduodenoscopy showed diffuse dark-red mucosa accompanied by multiple easy-bleeding, irregularly shaped ulcers throughout almost the whole stomach without active bleeding or visible vessels. The clinical course, including the endoscopic findings, progressed favorably with conservative treatment. COVID-19 pneumonia can present with acute gastric mucosal lesion, which may be induced by microvascular thrombosis due to COVID-19-related coagulopathy. |
| doi_str_mv | 10.2169/internalmedicine.7803-21 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8627797</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2591424432</sourcerecordid><originalsourceid>FETCH-LOGICAL-c587t-f309b966a89878882df4b85d11547f88650d9cd918a6ee1ccd6c9fda239185143</originalsourceid><addsrcrecordid>eNplkU-P0zAQxS0EYsvCd7DEhUuW2E7854JUAiwrFRUh4IjlOpPWVWIvtgPi2-OoVSWWy1jy_N6zZx5CmNQ3lHD12vkM0Ztxgt5Z5-FGyJpVlDxCK8IaVQnK2sdoVSsiK1rKFXqW0rGumRSKPkVXrBFEccpX6McafzERcGcS4DDgbvv97l1FFP7sYZ6CdwZ3wdswuWx8xr9dPuC3I5R3_R4PMUx4becM-NakHJ3Fn2YbkhnxBpILPj1HTwYzJnhxPq_Rtw_vv3Yfq8329q5bbyrbSpGrgdVqpzg3UkkhpaT90Oxk2xPSNmKQkrd1r2xfJjEcgFjbc6uG3lBWrlrSsGv05uR7P-_KUiz4HM2o76ObTPyjg3H63453B70Pv7TkVAglisGrs0EMP2dIWU8uWRhH4yHMSdNWEVpLIXhBXz5Aj2Fe0jhRDW0aRgslT5SNIaUIw-UzpNZLiPphiHoJsbSKdHuSHlM2e7gITczOjvC_kC-OSz07XEh7MFGDZ38BhAiwPA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2591424432</pqid></control><display><type>article</type><title>A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions</title><source>J-STAGE Free</source><source>PubMed Central Open Access</source><source>PubMed Central</source><creator>Kawabata, Hideaki ; Yamaguchi, Katsutoshi ; Ueda, Yuki ; Shinomiya, Ryo ; Okazaki, Yuji ; Yamamoto, Tetsuya ; Nakase, Kojiro ; Miyata, Masatoshi ; Motoi, Shigehiro ; Enoki, Yasuyuki ; Minamikawa, Tetsuhiro</creator><creatorcontrib>Kawabata, Hideaki ; Yamaguchi, Katsutoshi ; Ueda, Yuki ; Shinomiya, Ryo ; Okazaki, Yuji ; Yamamoto, Tetsuya ; Nakase, Kojiro ; Miyata, Masatoshi ; Motoi, Shigehiro ; Enoki, Yasuyuki ; Minamikawa, Tetsuhiro</creatorcontrib><description>A 70-year-old man was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia. Twenty-six days after admission, he experienced hematemesis despite improvement in his respiratory symptoms. Contrast-enhanced computed tomography revealed edematous stomach wall thickening with neither ischemic findings in the gastric wall nor obstruction of the gastric artery. Emergent esophagogastroduodenoscopy showed diffuse dark-red mucosa accompanied by multiple easy-bleeding, irregularly shaped ulcers throughout almost the whole stomach without active bleeding or visible vessels. The clinical course, including the endoscopic findings, progressed favorably with conservative treatment. COVID-19 pneumonia can present with acute gastric mucosal lesion, which may be induced by microvascular thrombosis due to COVID-19-related coagulopathy.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.7803-21</identifier><identifier>PMID: 34719626</identifier><language>eng</language><publisher>Tokyo: The Japanese Society of Internal Medicine</publisher><subject>acute gastric mucosal lesion ; Bleeding ; Case Report ; Computed tomography ; coronavirus disease 2019 ; Coronaviruses ; COVID-19 ; gastrointestinal bleeding ; Internal medicine ; Ischemia ; Microvasculature ; Mucosa ; Pneumonia ; Stomach ; Thrombosis ; Ulcers</subject><ispartof>Internal Medicine, 2021/11/01, Vol.60(21), pp.3421-3426</ispartof><rights>2021 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2021</rights><rights>Copyright © 2021 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c587t-f309b966a89878882df4b85d11547f88650d9cd918a6ee1ccd6c9fda239185143</citedby><cites>FETCH-LOGICAL-c587t-f309b966a89878882df4b85d11547f88650d9cd918a6ee1ccd6c9fda239185143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627797/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627797/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1883,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Kawabata, Hideaki</creatorcontrib><creatorcontrib>Yamaguchi, Katsutoshi</creatorcontrib><creatorcontrib>Ueda, Yuki</creatorcontrib><creatorcontrib>Shinomiya, Ryo</creatorcontrib><creatorcontrib>Okazaki, Yuji</creatorcontrib><creatorcontrib>Yamamoto, Tetsuya</creatorcontrib><creatorcontrib>Nakase, Kojiro</creatorcontrib><creatorcontrib>Miyata, Masatoshi</creatorcontrib><creatorcontrib>Motoi, Shigehiro</creatorcontrib><creatorcontrib>Enoki, Yasuyuki</creatorcontrib><creatorcontrib>Minamikawa, Tetsuhiro</creatorcontrib><title>A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 70-year-old man was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia. Twenty-six days after admission, he experienced hematemesis despite improvement in his respiratory symptoms. Contrast-enhanced computed tomography revealed edematous stomach wall thickening with neither ischemic findings in the gastric wall nor obstruction of the gastric artery. Emergent esophagogastroduodenoscopy showed diffuse dark-red mucosa accompanied by multiple easy-bleeding, irregularly shaped ulcers throughout almost the whole stomach without active bleeding or visible vessels. The clinical course, including the endoscopic findings, progressed favorably with conservative treatment. COVID-19 pneumonia can present with acute gastric mucosal lesion, which may be induced by microvascular thrombosis due to COVID-19-related coagulopathy.</description><subject>acute gastric mucosal lesion</subject><subject>Bleeding</subject><subject>Case Report</subject><subject>Computed tomography</subject><subject>coronavirus disease 2019</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>gastrointestinal bleeding</subject><subject>Internal medicine</subject><subject>Ischemia</subject><subject>Microvasculature</subject><subject>Mucosa</subject><subject>Pneumonia</subject><subject>Stomach</subject><subject>Thrombosis</subject><subject>Ulcers</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNplkU-P0zAQxS0EYsvCd7DEhUuW2E7854JUAiwrFRUh4IjlOpPWVWIvtgPi2-OoVSWWy1jy_N6zZx5CmNQ3lHD12vkM0Ztxgt5Z5-FGyJpVlDxCK8IaVQnK2sdoVSsiK1rKFXqW0rGumRSKPkVXrBFEccpX6McafzERcGcS4DDgbvv97l1FFP7sYZ6CdwZ3wdswuWx8xr9dPuC3I5R3_R4PMUx4becM-NakHJ3Fn2YbkhnxBpILPj1HTwYzJnhxPq_Rtw_vv3Yfq8329q5bbyrbSpGrgdVqpzg3UkkhpaT90Oxk2xPSNmKQkrd1r2xfJjEcgFjbc6uG3lBWrlrSsGv05uR7P-_KUiz4HM2o76ObTPyjg3H63453B70Pv7TkVAglisGrs0EMP2dIWU8uWRhH4yHMSdNWEVpLIXhBXz5Aj2Fe0jhRDW0aRgslT5SNIaUIw-UzpNZLiPphiHoJsbSKdHuSHlM2e7gITczOjvC_kC-OSz07XEh7MFGDZ38BhAiwPA</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Kawabata, Hideaki</creator><creator>Yamaguchi, Katsutoshi</creator><creator>Ueda, Yuki</creator><creator>Shinomiya, Ryo</creator><creator>Okazaki, Yuji</creator><creator>Yamamoto, Tetsuya</creator><creator>Nakase, Kojiro</creator><creator>Miyata, Masatoshi</creator><creator>Motoi, Shigehiro</creator><creator>Enoki, Yasuyuki</creator><creator>Minamikawa, Tetsuhiro</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20211101</creationdate><title>A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions</title><author>Kawabata, Hideaki ; Yamaguchi, Katsutoshi ; Ueda, Yuki ; Shinomiya, Ryo ; Okazaki, Yuji ; Yamamoto, Tetsuya ; Nakase, Kojiro ; Miyata, Masatoshi ; Motoi, Shigehiro ; Enoki, Yasuyuki ; Minamikawa, Tetsuhiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c587t-f309b966a89878882df4b85d11547f88650d9cd918a6ee1ccd6c9fda239185143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>acute gastric mucosal lesion</topic><topic>Bleeding</topic><topic>Case Report</topic><topic>Computed tomography</topic><topic>coronavirus disease 2019</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>gastrointestinal bleeding</topic><topic>Internal medicine</topic><topic>Ischemia</topic><topic>Microvasculature</topic><topic>Mucosa</topic><topic>Pneumonia</topic><topic>Stomach</topic><topic>Thrombosis</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawabata, Hideaki</creatorcontrib><creatorcontrib>Yamaguchi, Katsutoshi</creatorcontrib><creatorcontrib>Ueda, Yuki</creatorcontrib><creatorcontrib>Shinomiya, Ryo</creatorcontrib><creatorcontrib>Okazaki, Yuji</creatorcontrib><creatorcontrib>Yamamoto, Tetsuya</creatorcontrib><creatorcontrib>Nakase, Kojiro</creatorcontrib><creatorcontrib>Miyata, Masatoshi</creatorcontrib><creatorcontrib>Motoi, Shigehiro</creatorcontrib><creatorcontrib>Enoki, Yasuyuki</creatorcontrib><creatorcontrib>Minamikawa, Tetsuhiro</creatorcontrib><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawabata, Hideaki</au><au>Yamaguchi, Katsutoshi</au><au>Ueda, Yuki</au><au>Shinomiya, Ryo</au><au>Okazaki, Yuji</au><au>Yamamoto, Tetsuya</au><au>Nakase, Kojiro</au><au>Miyata, Masatoshi</au><au>Motoi, Shigehiro</au><au>Enoki, Yasuyuki</au><au>Minamikawa, Tetsuhiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>60</volume><issue>21</issue><spage>3421</spage><epage>3426</epage><pages>3421-3426</pages><artnum>7803-21</artnum><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 70-year-old man was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia. Twenty-six days after admission, he experienced hematemesis despite improvement in his respiratory symptoms. Contrast-enhanced computed tomography revealed edematous stomach wall thickening with neither ischemic findings in the gastric wall nor obstruction of the gastric artery. Emergent esophagogastroduodenoscopy showed diffuse dark-red mucosa accompanied by multiple easy-bleeding, irregularly shaped ulcers throughout almost the whole stomach without active bleeding or visible vessels. The clinical course, including the endoscopic findings, progressed favorably with conservative treatment. COVID-19 pneumonia can present with acute gastric mucosal lesion, which may be induced by microvascular thrombosis due to COVID-19-related coagulopathy.</abstract><cop>Tokyo</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>34719626</pmid><doi>10.2169/internalmedicine.7803-21</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0918-2918 |
| ispartof | Internal Medicine, 2021/11/01, Vol.60(21), pp.3421-3426 |
| issn | 0918-2918 1349-7235 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8627797 |
| source | J-STAGE Free; PubMed Central Open Access; PubMed Central |
| subjects | acute gastric mucosal lesion Bleeding Case Report Computed tomography coronavirus disease 2019 Coronaviruses COVID-19 gastrointestinal bleeding Internal medicine Ischemia Microvasculature Mucosa Pneumonia Stomach Thrombosis Ulcers |
| title | A Rare Case of COVID-19 Pneumonia Concomitant with Bleeding from Acute Gastric Mucosal Lesions |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T11%3A53%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Rare%20Case%20of%20COVID-19%20Pneumonia%20Concomitant%20with%20Bleeding%20from%20Acute%20Gastric%20Mucosal%20Lesions&rft.jtitle=Internal%20Medicine&rft.au=Kawabata,%20Hideaki&rft.date=2021-11-01&rft.volume=60&rft.issue=21&rft.spage=3421&rft.epage=3426&rft.pages=3421-3426&rft.artnum=7803-21&rft.issn=0918-2918&rft.eissn=1349-7235&rft_id=info:doi/10.2169/internalmedicine.7803-21&rft_dat=%3Cproquest_pubme%3E2591424432%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2591424432&rft_id=info:pmid/34719626&rfr_iscdi=true |