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The female student who had an emergency due to stomach bleeding knew she had Covid-19

Doctor Nguyen Minh Tien, Deputy Director of City Children’s Hospital (HCMC) said, the patient is a 13-year-old female student, living in Can Tho.

Taking his medical history showed that he had a high fever and sore throat for about three days. Two days later, suffering from abdominal pain in the epigastrium, vomiting blood, was given first aid by a local hospital and transferred to Ho Chi Minh City.

At the time of admission, the patient was lethargic, pale skin, tachycardia, low blood pressure, vomiting bright red blood, black stools.

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A 13-year-old child has gastrointestinal bleeding when infected with Covid-19.

The Hct test (the number of red blood cells in the blood) is only 12%, while the normal age is about 40-45%. The Covid-19 rapid test and RT PCR were both positive.

The patient was diagnosed with severe gastrointestinal bleeding suspected of peptic ulcer disease on the background of Covid-19. After that, she received respiratory support, anti-shock fluids, about 1.5 liters of blood and fresh frozen plasma, 6 units of platelet concentrate.

Doctors performed an emergency endoscopy and noted a bleeding ulcer in the stomach. Team to stop bleeding ulcers, transfer to surgical resuscitation department for mechanical ventilation, use antiretroviral drugs, drugs to reduce gastric secretion, antibiotics.

After a week of treatment, the patient was weaned from the ventilator, awake, did not vomit, could drink milk, and had yellow stools. The Covid-19 PCR test was also negative after 14 days.

According to Dr. Tien, studies show that SARS-CoV-2 not only enters respiratory cells through angiotensin-converting enzyme 2 (ACE2), but can also attack the digestive tract. Thereby, causing hemorrhagic ulcers, as well as causing gastrointestinal homeostasis, especially intestinal microflora, causing symptoms of vomiting, abdominal pain, flatulence, constipation, gastrointestinal bleeding.

Previously, the City Children’s Hospital also received many critically ill children despite having recovered from Covid-19, with cardiovascular complications, multi-system inflammatory syndrome MIS-C…

Linh Giao

tre sung do mat than dau dau co thuc su do hau covid 19 13273318132e4ce899af5ed7c018d058

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