Diarrhoea may be underestimated: a missing link in 2019 novel coronavirus
Weicheng Liang1,2, Zhijie Feng3, Shitao Rao4, Cuicui Xiao1,2, Xingyang Xue5, Zexiao Lin2,6, Qi Zhang1,2, Wei Qi3
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http://dx.doi.org/10.1136/gutjnl-2020-320832
A series of pneumonia cases caused by 2019 novel coronavirus (2019-nCoV, also named COVID-19) are being reported globally. Based on recent publications,1–3 the most common symptoms in patients infected by 2019-nCoV were fever and cough. However, the incidence of other clinical features differs in different reports. To address this issue, we collected the data from three reports1–3 and compared the incidence accordingly. We found that the incidence of leucopenia, fever and diarrhoea in the three studies showed a statistically significant difference (table 1). Among these symptoms, diarrhoea displayed the smallest p-value (p=0.016), suggesting that the criteria for diagnosing diarrhoea may differ in different hospitals. Due to the different criteria, clinicians may underestimate the value of this symptom in clinical practice, and it may affect the preliminary diagnostic accuracy.