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Anyone seeing diarrhea as first symptom COVID-19

Disasters   (327 Views | 2 Replies)

J.Adderton has 27 years experience as a BSN, MSN.

7 Followers; 117 Articles; 33,920 Profile Views; 380 Posts

I am curious if any other nurses are seeing patients who describe diarrhea/n/v as first presenting symptoms of confirmed COVID-19?

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tnbutterfly - Mary is a BSN, RN and specializes in Peds, Med-Surg, Disaster Nsg, Parish Nsg.

14 Followers; 130 Articles; 5,543 Posts; 200,212 Profile Views

I saw this Medscape video/article about evidence of possible COVID-19 fecal transmission.

Fecal Evidence of COVID-19 Raises Transmission Concerns

Quote

In a recently published single-center case series of 138 consecutive hospitalized patients with confirmed COVID-19, investigators reported that approximately 10% of patients initially presented with GI symptoms, prior to the subsequent development of respiratory symptoms. Common and often very subtle symptoms included diarrhea, nausea, and abdominal pain, with a less common symptom being nonspecific GI illness.

...Virus in the stool may be evident on presentation and last throughout the course of illness resolution for up to 12 days after the respiratory virus evidence is gone.

The Centers for Disease Control and Prevention recommends that after two negative respiratory tests separated by ≥ 24 hours, patients can be dismissed from having transmissibility infection risk for COVID-19. But we now know that these stools may lag up to 12 days after. In fact, in one of the most recent studies looking at 73 patients, approximately 24% remained positive in their stool for evidence of virus, though not necessarily infection, after showing negative in respiratory samples.

 

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2 Posts; 19 Profile Views

Yes this seems to be a preliminary sign before real issues

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