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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 <jats:italic>Yersinia enterocolitica<\/jats:italic>. He recovered following supportive management and treatment with piperacillin\u2013tazobactam.<\/jats:p>","DOI":"10.1136\/bcr-2020-236030","type":"journal-article","created":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T02:57:12Z","timestamp":1592362632000},"page":"e236030","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["COVID-19 presenting as severe, persistent abdominal pain and causing late respiratory compromise in a 33-year-old man"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2600-0386","authenticated-orcid":false,"given":"Sarah Catherine","family":"Walpole","sequence":"first","affiliation":[{"name":"Department of Infection & Tropical Medicine, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK"},{"name":"Faculty of Medical Sciences, Newcastle University, Newcastle, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"McHugh","sequence":"additional","affiliation":[{"name":"Department of Infection & Tropical Medicine, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Samuel","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias Ludwig","family":"Schmid","sequence":"additional","affiliation":[{"name":"Department of Infection & Tropical Medicine, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,6,16]]},"reference":[{"key":"2025082804111409000_13.6.e236030.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.1585"},{"key":"2025082804111409000_13.6.e236030.2","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2020-320926"},{"key":"2025082804111409000_13.6.e236030.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00259-020-04735-9"},{"key":"2025082804111409000_13.6.e236030.4","first-page":"1","article-title":"Early clinical and CT manifestations of coronavirus disease 2019 (COVID-19) pneumonia","author":"Han","year":"2020","journal-title":"AJR Am J Roentgenol"},{"key":"2025082804111409000_13.6.e236030.5","unstructured":"Public Health England . 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