COVID-19 patients with diarrhea more likely to have severe symptoms of pneumonia: research

Researchers have found that more novel coronavirus disease (COVID-19) patients with diarrhea showed severe symptoms of pneumonia than those without diarrhea, according to a recently published research article in the journal Lancet Gastroenterology and Hepatology.

The researchers from the Sixth Affiliated Hospital of Sun Yat-sen University and its Research Institute of Gastroenterology examined the intestinal symptoms of patients with COVID-19 from multiple medical centers in China.

They collected and analyzed data from 232 patients who were tested positive for COVID-19 and admitted to 14 hospitals in provinces of Guangdong, Hubei and Jiangxi from January 19 to March 6. Two patients with pre-existing digestive diseases were excluded from the analysis.

The patients' most common symptoms at the onset of illness were fever, cough and sputum production. Diarrhea was observed in 49 patients, or 21 percent, according to the research article which said that the patients with diarrhea were older and more likely to have comorbidities than those without diarrhea.

The researchers also discovered that more patients with diarrhea showed severe symptoms of pneumonia than those without. Although there was no correlation between diarrhea and oxygen supplementation, a greater proportion of patients with diarrhea required ventilator support and admission to intensive care, said the article.

They did not observe a correlation between diarrhea and the use of antiviral medicine or antibiotics.

The analysis did not cover the data on the prevalence of asymptomatic COVID-19.

The researchers also pointed out that the medicines like antivirals, lopinavir and ritonavir are known to cause diarrhoea.