{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T21:37:11Z","timestamp":1777671431452,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"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":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a rapidly spreading disease causing increased morbidity and mortality across the globe. There is limited available knowledge regarding the natural history of the SARS-CoV-2 infection. Other factors that are also making this infection spread like a pandemic include global travelers, lack of proven treatment, asymptomatic carriers, potential reinfection, underprepared global health care systems, and lack of public awareness and efforts to prevent further spread. It is understood that certain preexisting medical conditions increase the risk of mortality with COVID-19; however, the outcome of this disease in traditionally vulnerable chronic illnesses such as end-stage renal disease is not well documented. We present a case of a 56-year-old African American lady with end-stage renal disease on the peritoneal dialysis who presented predominantly with nausea, vomiting, and subsequently found to have COVID-19. We use this case to illustrate an atypical presentation of the COVID-19 in a vulnerable patient and discuss the literature.<\/jats:p>","DOI":"10.1177\/2324709620931238","type":"journal-article","created":{"date-parts":[[2020,6,11]],"date-time":"2020-06-11T10:10:18Z","timestamp":1591870218000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Atypical Presentation of Novel Coronavirus Disease 2019 in a Peritoneal Dialysis Patient"],"prefix":"10.1177","volume":"8","author":[{"given":"Subhasish","family":"Bose","sequence":"first","affiliation":[{"name":"Lynchburg Nephrology Physicians, Lynchburg, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5608-5654","authenticated-orcid":false,"given":"Sreedhar","family":"Adapa","sequence":"additional","affiliation":[{"name":"Adventist Medical Center, Hanford, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1953-8815","authenticated-orcid":false,"given":"Venu Madhav","family":"Konala","sequence":"additional","affiliation":[{"name":"Ashland Bellefonte Cancer Center, Ashland, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hemapriya","family":"Gopalreddy","sequence":"additional","affiliation":[{"name":"Deaconess Health System Inc, Evansville, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salim","family":"Sohail","sequence":"additional","affiliation":[{"name":"University of Mississippi Medical Center, Jackson, MS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1238-856X","authenticated-orcid":false,"given":"Srikanth","family":"Naramala","sequence":"additional","affiliation":[{"name":"Adventist Medical Center, Hanford, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hema","family":"Kondakindi","sequence":"additional","affiliation":[{"name":"Swedish Covenant Hospital, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijayadershan","family":"Muppidi","sequence":"additional","affiliation":[{"name":"IU Health Ball Memorial Hospital, Muncie, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manoj V.","family":"Ramachandran","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Juran","sequence":"additional","affiliation":[{"name":"Deaconess Health System Inc, Evansville, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8530-668X","authenticated-orcid":false,"given":"Narothama Reddy","family":"Aeddula","sequence":"additional","affiliation":[{"name":"Deaconess Health System Inc, Evansville, IN, USA"},{"name":"Indiana University, Evansville, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,11]]},"reference":[{"key":"bibr1-2324709620931238","unstructured":"World Health Organization. Coronavirus disease (COVID-19) pandemic. Accessed May 16, 2020. https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019"},{"key":"bibr2-2324709620931238","unstructured":"Johns Hopkins University. Coronavirus COVID-19 global cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). Accessed May 16 2020. https:\/\/gisanddata.maps.arcgis.com\/apps\/opsdashboard\/index.html#\/bda7594740fd40299423467b48e9ecf6"},{"key":"bibr3-2324709620931238","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30183-5"},{"key":"bibr4-2324709620931238","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03340320"},{"key":"bibr5-2324709620931238","doi-asserted-by":"publisher","DOI":"10.1101\/2020.02.24.20027201"},{"key":"bibr6-2324709620931238","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03420320"},{"key":"bibr7-2324709620931238","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2002032"},{"key":"bibr8-2324709620931238","unstructured":"Hopkins K. Loss of sense of smell as marker of COVID-19 infection. Accessed May 16, 2020. https:\/\/www.entuk.org\/sites\/default\/files\/files\/Loss of sense of smell as marker of COVID.pdf"},{"key":"bibr9-2324709620931238","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2020.03.001"},{"key":"bibr10-2324709620931238","unstructured":"Centers for Disease Control and Prevention. Interim additional guidance for infection prevention and control recommendations for patients with suspected or confirmed COVID-19 in outpatient hemodialysis facilities. Accessed May 16, 2020. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/dialysis.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fdialysis.html"},{"key":"bibr11-2324709620931238","unstructured":"International Society for Peritoneal Dialysis. Strategies regarding COVID-19 in PD patients. Accessed May 16, 2020. https:\/\/ispd.org\/strategies-covid19\/"},{"key":"bibr12-2324709620931238","unstructured":"American Society of Nephrology. COVID-19 information for the providers of dialysis services. https:\/\/www.asn-online.org\/ntds\/resources\/Webcast_2020_03_11_COVID-19.mp4"},{"key":"bibr13-2324709620931238","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.4326"},{"key":"bibr14-2324709620931238","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2020.03.005"},{"key":"bibr15-2324709620931238","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-020-00727-y"},{"key":"bibr16-2324709620931238","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.05180420"},{"key":"bibr17-2324709620931238","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2020.04.001"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2324709620931238","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2324709620931238","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2324709620931238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:00:33Z","timestamp":1777449633000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2324709620931238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":17,"alternative-id":["10.1177\/2324709620931238"],"URL":"https:\/\/doi.org\/10.1177\/2324709620931238","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"2324709620931238"}}