it is Noted that on 27 April and 3 may in different medical center of FMBA received two patients with typical symptoms of novel coronavirus infection (nasal congestion, increased body temperature up to 380C, cough, a symptom of “matte glass”). The second patient was admitted with complication, pneumonia, are also typical for this disease. Coronavirus test both were positive.
“In the course of treatment in both patients there was a negative dynamics in the form (symptoms) of acute abdomen, increase in body temperature. These symptoms are an indication for emergency surgery. Patients underwent diagnostic laparoscopy, which identified a pattern of ascites the presence of fluid (serous turbid effusion) in the abdomen. Data for other acute surgical pathology in both patients was absent”, – is spoken in the message of the Agency.
it also asserts that therefore, “based on the test results of two patients to assume a new variant of the COVID-19 occurring with the clinical picture of serous peritonitis.”
Doctors suggest that inflammation of the peritoneum at COVID-19 may occur due to systemic response to viral infection, accompanied by massive cytokine production, hyperactivation of immune cells and the formation of circulating immune complexes that may lead to pathological changes in microvessels and aseptic inflammation of some serous membranes.