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*Please share*: Top ten facts about #COVID19 and the gut: C19 is #NotJustCough. In the past 3 wks we've learned a lot about how C19 infects the gastrointestinal tract. In this tweetorial, I summarize what's known and provide relevant research links in one place. Here goes...(1/6)
1. 50.5% of hospitalized patients report one or more digestive symptom (including diarrhea, nausea, vomiting, abdominal pain, or low appetite). Here's the link: https://journals.lww.com/ajg/Documents/COVID_Digestive_Symptoms_AJG_Preproof.pdf
2. 18.6% of hospitalized patients report diarrhea, in particular (same link as above) (2/6)
2. 18.6% of hospitalized patients report diarrhea, in particular (same link as above) (2/6)
3. 53% of #COVID19 test positive in stool: https://www.gastrojournal.org/article/S0016-5085(20)30282-1/pdf
4. 73% of C19 with diarrhea test positive in stool vs. 14% w/ only respiratory symptoms: https://journals.lww.com/ajg/Documents/COVID19_Han_et_al_AJG_Preproof.pdf
5. 23% remain positive in stool after negative respiratory samples: https://www.gastrojournal.org/article/S0016-5085(20)30282-1/pdf (3/6)
4. 73% of C19 with diarrhea test positive in stool vs. 14% w/ only respiratory symptoms: https://journals.lww.com/ajg/Documents/COVID19_Han_et_al_AJG_Preproof.pdf
5. 23% remain positive in stool after negative respiratory samples: https://www.gastrojournal.org/article/S0016-5085(20)30282-1/pdf (3/6)
6. Fecal shedding of #COVID19 continues for up to 5 wks after respiratory symptom resolution: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(20)30083-2/fulltext
7. Fecal shedding continues for 11.2 days after respiratory samples clear: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(20)30083-2/fulltext (4/6)
7. Fecal shedding continues for 11.2 days after respiratory samples clear: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(20)30083-2/fulltext (4/6)
8. #COVID19 can present w/ acute colitis, even in complete absence of fever, cough, shortness of breath: https://journals.lww.com/ajg/Documents/COVID19_Carvalho_et_al_AJG_Preproof.pdf
9. C10 can present as acute viral hepatitis in absence of fever, cough, or shortness of breath: https://journals.lww.com/ajg/Documents/COVID19_Bernstein_et_al_AJG_Preproof.pdf (5/6)
9. C10 can present as acute viral hepatitis in absence of fever, cough, or shortness of breath: https://journals.lww.com/ajg/Documents/COVID19_Bernstein_et_al_AJG_Preproof.pdf (5/6)
10. There remains concern that #COVID19 can spread through stool: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(20)30048-0/fulltext
Lot's more to report, but these are key facts & figures as of now. Our @AmCollegeGastro editorial team is receiving daily reports & doing our best to rapidly publish the best data (6/6)
Lot's more to report, but these are key facts & figures as of now. Our @AmCollegeGastro editorial team is receiving daily reports & doing our best to rapidly publish the best data (6/6)
