TY - JOUR T1 - COVID-19 presenting as severe, persistent abdominal pain and causing late respiratory compromise in a 33-year-old man JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-236030 VL - 13 IS - 6 SP - e236030 AU - Sarah Catherine Walpole AU - Rebecca McHugh AU - Julie Samuel AU - Matthias Ludwig Schmid Y1 - 2020/06/01 UR - http://casereports.bmj.com/content/13/6/e236030.abstract N2 - 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. ER -