PT - JOURNAL ARTICLE AU - Sarah Catherine Walpole AU - Rebecca McHugh AU - Julie Samuel AU - Matthias Ludwig Schmid TI - COVID-19 presenting as severe, persistent abdominal pain and causing late respiratory compromise in a 33-year-old man AID - 10.1136/bcr-2020-236030 DP - 2020 Jun 01 TA - BMJ Case Reports PG - e236030 VI - 13 IP - 6 4099 - http://casereports.bmj.com/content/13/6/e236030.short 4100 - http://casereports.bmj.com/content/13/6/e236030.full SO - BMJ Case Reports2020 Jun 01; 13 AB - A 33-year-old man presented repeatedly with severe abdominal pain and diarrhoea. Renal colic was suspected, and he was admitted for pain management. Questioning elicited an additional history of sore throat and mild, dry cough. Inflammatory markers were mildly raised (C reactive protein (CRP) 40 mg/L). Initial nasopharyngeal swabs were negative for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) by PCR. CT of the kidneys, ureters and bladder (CT KUB) was normal; however, CT of the thorax showed multifocal bilateral peripheral areas of consolidation consistent with COVID-19 infection. He developed respiratory compromise and was transferred to the intensive care unit (ICU). Sputum was positive for SARS-CoV-2 by PCR, and culture grew Yersinia enterocolitica. He recovered following supportive management and treatment with piperacillin–tazobactam.