Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Jul;38(7):1542.e1-1542.e3.
doi: 10.1016/j.ajem.2020.03.052. Epub 2020 Mar 31.

Abdominal and testicular pain: An atypical presentation of COVID-19

Jesi Kim  1 , Todd Thomsen  2 , Naomi Sell  3 , Andrew J Goldsmith  4
Affiliations
Case Reports

Abdominal and testicular pain: An atypical presentation of COVID-19

Jesi Kim et al. Am J Emerg Med. 2020 Jul.

Abstract

The outbreak of a novel coronavirus disease (COVID-19) has been of concern to health care workers (HCW's) in the emergency department (ED) due to potential exposure and transmission. This case report describes a man who was referred to the ED for abdominal and testicular pain who was subsequently found to test positive for COVID-19. Due to the lack of respiratory symptoms, proper protective equipment (PPE) was not donned, and it led to several patients and health care workers being exposed. Given recent new descriptions of patients who present atypically, full PPE for all patients may be considered as community spread increases.

PubMed Disclaimer

Conflict of interest statement

Declaration of competing interest The authors report no conflict of interest.

Figures

Fig. 1
Fig. 1
Normal chest radiograph of both (A) posterior-anterior (B) and lateral view.
Fig. 2
Fig. 2
Computed tomography of patient with GGO in the posterior right lower lobe and consolidation in the right middle lobe (i.e. arrow).
Fig. 3
Fig. 3
Computed tomography of patient with mild colonic mural thickening in the sigmoid colon (i.e. arrow).
See this image and copyright information in PMC

Comment in

  • Atypical presentation of COVID-19.
    Joob B, Wiwanitkit V. Joob B, et al. Am J Emerg Med. 2021 Jan;39:237. doi: 10.1016/j.ajem.2020.05.019. Epub 2020 May 11. Am J Emerg Med. 2021. PMID: 32444295 Free PMC article. No abstract available.

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Dong E., Du H., Gardner L. An interactive web-based dashboard to track COVID-19 in real time. Lancet Infect Dis. 2020;3099(20):30120–30121. - PMC - PubMed
    1. Centers for Disease Control and Prevention Interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease 2019 (COVID-19) in healthcare settings. 2020. https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-reco... [online] Available at: [Accessed 21 March 2020]
    1. Li Q., Guan X., Wu P. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med. 2020 Feb 29 doi: 10.1056/NEJMoa2001316. - DOI - PMC - PubMed
    1. Gao Q.Y., Chen Y.X., Fang J.Y. 2019 Novel coronavirus infection and gastrointestinal tract. J Dig Dis. 2020 Feb 25 doi: 10.1111/1751-2980.12851. - DOI - PMC - PubMed
    1. Guan W., Ni Z., Hu Y. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020 doi: 10.1056/NEJMoa2002032. Feb 28. - DOI - PMC - PubMed

Publication types