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Medical Science Monitor Basic Research


A 73-Year-Old Man with a History of Hypertension and Ischemic Heart Disease Who Presented with Pain in the Right Flank as a Symptom of COVID-19 Pneumonia

Unusual clinical course

Jessiya Veliyankodan Parambil, Rasha Abdulrahman, Shaikha Al-Shokri

Qatar Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar

Am J Case Rep 2020; 21:e925771

DOI: 10.12659/AJCR.925771

Available online: 2020-07-14

Published: 2020-07-23


BACKGROUND: Coronavirus disease 2019 (COVID-19) has been increasing all over the world. During the pandemic, a variety of presentations have been described. Nevertheless, some patients remain asymptomatic. Respiratory symptoms and gastrointestinal symptoms are often reported among these patients.
CASE REPORT: Here, we report a case with flank pain. Radiological images were significant for bilateral consolidation, which raised a high suspicion of COVID-19. Hence, on further investigation, he was diagnosed with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
CONCLUSIONS: In the time of the COVID-19 pandemic, patients with multiple comorbidities may present atypically. Flank pain, which is not a usual presentation, may raise the suspicion of COVID-19 infection.

Keywords: Flank Pain, Tomography, X-Ray Computed, Urology