{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:54:24Z","timestamp":1777726464531,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>Since the outbreak of coronavirus disease 2019 (COVID-19) in December 2019, an epidemic has spread rapidly worldwide. COVID-19 is caused by the highly infectious severe acute respiratory syndrome coronavirus-2. A 42-year-old woman presented to hospital who was suffering from epigastric discomfort and dyspepsia for the past 5 days. Before the onset of symptoms, she was healthy, and had no travel history to Wuhan or contact with laboratory-confirmed COVID-19 cases. An examination showed chronic superficial gastritis with erosion and esophagitis. Enhanced magnetic resonance imaging of the abdomen showed a lesion in the right lower lobe of the lungs. Chest computed tomography showed multiple ground-glass opacity in the lungs. Reverse transcription-polymerase chain reaction was negative for severe acute respiratory syndrome coronavirus-2. There was no improvement after antibiotic treatment. Polymerase chain reaction performed 2 days later was positive and she was diagnosed with COVID-19. After several days of antiviral and symptomatic treatments, her symptoms improved and she was discharged. None of the medical staff were infected. Clinical manifestations of COVID-19 are nonspecific, making differentiating it from other diseases difficult. This case shows the sequence in which symptoms developed in a patient with COVID-19 with gastrointestinal symptoms as initial manifestations.<\/jats:p>","DOI":"10.1177\/0300060520952256","type":"journal-article","created":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T15:39:55Z","timestamp":1599752395000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Coronavirus disease 19 with gastrointestinal symptoms as initial manifestations: a case report"],"prefix":"10.1177","volume":"48","author":[{"given":"Chun-Yang","family":"Wu","sequence":"first","affiliation":[{"name":"Department of General Internal Medicine, Ningbo City First Hospital, Ningbo, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao-Pin","family":"Yu","sequence":"additional","affiliation":[{"name":"Ningbo City First Hospital, Ningbo, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ada Hoi Yan","family":"Ma","sequence":"additional","affiliation":[{"name":"Nottingham University Business School, University of Nottingham Ningbo China, Ningbo, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li-Ping","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine, Ningbo City First Hospital, Ningbo, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nai-Bin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine, Ningbo City First Hospital, Ningbo, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guo-Xiang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine, Ningbo City First Hospital, Ningbo, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie-Jun","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine, Ningbo City First Hospital, Ningbo, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2427-8042","authenticated-orcid":false,"given":"Guo-Qing","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine, Ningbo City First Hospital, Ningbo, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,10]]},"reference":[{"key":"bibr1-0300060520952256","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-020-2012-7"},{"key":"bibr2-0300060520952256","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.0757"},{"key":"bibr3-0300060520952256","unstructured":"Chinese Center for Disease Control and Prevention: Chinese Center for Disease Control and Prevention. 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