Pneumatosis Intestinalis in the Setting of COVID-19: A Single Center Case Series From New York
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2) [coronavirus disease 2019 (COVID-19)] suffering from pneumatosis intestinalis (PI) during their hospital admission. All patients received the biological agent tocilizumab (TCZ), an interleukin (IL)-6 antagonist, as an experimental treatment for COVID-19 before developing PI. COVID-19 and TCZ have been independently linked to PI risk, yet the cause of this relationship is unknown and under speculation. PI is a rare condition, defined as the presence of gas in the intestinal wall, and although its pathogenesis is poorly understood, intestinal ischemia is one of its causative agents. Based on COVID-19's association with vasculopathic and ischemic insults, and IL-6's protective role in intestinal epithelial ischemia-reperfusion injury, an adverse synergistic association of COVID-19 and TCZ can be proposed in the setting of PI. To our knowledge, this is the first published, single center, case series of pneumatosis intestinalis in COVID-19 patients who received tocilizumab therapy.
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Capillary viscometry showed hyperviscosity in critically ill COVID-19 patients.
“Capillary viscometry showed hyperviscosity in critically ill COVID-19 patients [70,71].”
From Acute mesenteric ischemia in COVID-19 patients (2021) · cites this paper as [71]
Platelet activation, platelet-monocyte aggregation formation, and Neutrophil extracellular traps released from activated neutrophils were documented in severe COVID-19 patients by several studies.
“Platelet activation, platelet–monocyte aggregation formation, and Neutrophil external traps (NETs) released from activated neutrophils, constitute a mixture of nucleic DNA, histones, and nucleosomes [59,72] were documented in severe COVID-19 patients by several studies [70,71,73].”
From Acute mesenteric ischemia in COVID-19 patients (2021) · cites this paper as [71]
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Acute mesenteric ischemia in COVID-19 patients
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- Authors
- Miyara, S. J., Becker, L. B., Guevara, S., Kirsch, C., Metz, C. N., Shoaib, M., Grodstein, E., Nair, V. V., Jandovitz, N., McCann-Molmenti, A., Hayashida, K., Takegawa, R., Shinozaki, K., Yagi, T., Aoki, T., Nishikimi, M., Choudhary, R. C., Cho, Y. M., Zanos, S., Zafeiropoulos, S., Hoffman, H. B., Watt, S., Lumermann, C. M., Aronsohn, J., Shore-Lesserson, L., & Molmenti, E. P.
- Affiliations
- Feinstein Institute for Medical Research (US)
- North Shore University Hospital (US)
- University at Buffalo, State University of New York (US)
- Corresponding author
- Molmenti, Ernesto P.
- ORCID
- Miyara, Santiago J.
- Becker, Lance B.
- Guevara, Sara
- Kirsch, Claudia
- Metz, Christine N.
- Shoaib, Muhammad
- Grodstein, Elliot
- Nair, Vinay V.
- Jandovitz, Nicholas
- Hayashida, Kei
- Takegawa, Ryosuke
- Shinozaki, Koichiro
- Yagi, Tsukasa
- Aoki, Tomoaki
- Nishikimi, Mitsuaki
- Choudhary, Rishabh C.
- Cho, Young Min
- Zanos, Stavros
- Zafeiropoulos, Stefanos
- Hoffman, Hannah B.
- Watt, Stacey
- Aronsohn, Judith
- Shore-Lesserson, Linda
- Molmenti, Ernesto P.
- Venue
- Frontiers in Medicine
- Publisher
- Frontiers Media SA
- Published
- 2021-06-04
- Volume
- 8
- Pages
- 638075-638075
- ISSN
- 2296-858X (ISSN-L)
- PMC
- PMC8212022
- OpenAlex
- W3172970674
- Cited by
- 9
- References
- 85
- Citations by year
- 2025: 3 · 2023: 2 · 2022: 2 · 2021: 2
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Dermatology › Dermatological and COVID-19 studies
- Keywords
- pneumatosis intestinalis, COVID-19 pandemic, tocilizumab, intestinal ischemia, ischemia-reperfusion injury, drug-induced intestinal injury, adverse drug reactions, SARS-CoV-2
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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