![]() On further analysis of the swab sample, there was no evidence for mutant SARS-CoV-2 variants B.1.1.7, B.1.351 or B.1.1.28.1. On day 25, our patient tested SARS-CoV-2 positive by real-time PCR (RT-PCR), with a low cycle threshold (Ct) value indicating high virus load. On day 24, a patient in the same hospital room as our case tested positive for SARS-CoV-2. Subsequently, the patient’s condition deteriorated under the development of renal insufficiency. Treatment was supportive with mesalazine and intravenous iron substitution. PCR-analysis on biopsy specimens, following a previously reported method ( Kaltschmidt et al., 2021), was negative for SARS-CoV-2. Colonoscopy, in particular, demonstrated an ulcerative lesion of the left colonic flexure, which was histologically diagnosed as ischemic colitis. Gastroscopy and colonoscopy were performed to investigate the cause of diarrhea further. RT-PCR, real-time polymerase chain reaction Ct, cycle threshold. Lung auscultation with any pathological signs, hypernatremiaĭehydration, lung auscultation with crackles Patient somnolent, initiating antibiotic therapy, chest radiograph with minimal infiltrates Patient in same hospital room has positive SARS-CoV-2 RT-PCR test (Ct, 15) Admission to hospital gastroscopy (mild gastritis)Ībdominal ultrasound, initiating intravenous iron applicationĬolonoscopy (ischemic colitis), initiating mesalazineĪcute renal insufficiency, initiating intravenous glucose application ![]()
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