Detection of SARS-CoV-2 in Ascitic Fluid of Cirrhotic COVID-19 Patients: Case Series and Literature Review
SARS-CoV-2 has been identified in multiple organs and fluids, including the liver and peritoneal fluid. Gastrointestinal symptoms, such as abdominal pain, diarrhea, nausea, and vomiting, can exacerbate COVID-19 outcomes by contributing to complications, like acid–base imbalances and cardiovascular d...
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MDPI AG
2025-04-01
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| Series: | COVID |
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| Online Access: | https://www.mdpi.com/2673-8112/5/4/58 |
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| author | Grazia Caci Andrea Marino Edoardo Campanella Ylenia Russotto Cristina Micali Natascia Laganà Aldo Sitibondo Roberto Filomia Antonino Botindari Serena Spampinato Giuseppe Mancuso Angelina Midiri Giovanni Francesco Pellicanò Giuseppe Nunnari Emmanuele Venanzi Rullo |
| author_facet | Grazia Caci Andrea Marino Edoardo Campanella Ylenia Russotto Cristina Micali Natascia Laganà Aldo Sitibondo Roberto Filomia Antonino Botindari Serena Spampinato Giuseppe Mancuso Angelina Midiri Giovanni Francesco Pellicanò Giuseppe Nunnari Emmanuele Venanzi Rullo |
| author_sort | Grazia Caci |
| collection | DOAJ |
| description | SARS-CoV-2 has been identified in multiple organs and fluids, including the liver and peritoneal fluid. Gastrointestinal symptoms, such as abdominal pain, diarrhea, nausea, and vomiting, can exacerbate COVID-19 outcomes by contributing to complications, like acid–base imbalances and cardiovascular dysfunction, particularly in patients with pre-existing conditions. We report three cases of COVID-19 cirrhotic patients with SARS-CoV-2 detected in their ascitic fluid and review the relevant literature on the virus’s presence and clinical significance in peritoneal fluid. These findings underscore diagnostic and prognostic challenges in managing COVID-19 in patients with chronic liver disease and highlight the need for further research to clarify viral dissemination mechanisms and optimize protective measures for healthcare workers during surgical procedures. |
| format | Article |
| id | doaj-art-80d5a22b94514528a628db72f8b7966b |
| institution | OA Journals |
| issn | 2673-8112 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | COVID |
| spelling | doaj-art-80d5a22b94514528a628db72f8b7966b2025-08-20T02:17:19ZengMDPI AGCOVID2673-81122025-04-01545810.3390/covid5040058Detection of SARS-CoV-2 in Ascitic Fluid of Cirrhotic COVID-19 Patients: Case Series and Literature ReviewGrazia Caci0Andrea Marino1Edoardo Campanella2Ylenia Russotto3Cristina Micali4Natascia Laganà5Aldo Sitibondo6Roberto Filomia7Antonino Botindari8Serena Spampinato9Giuseppe Mancuso10Angelina Midiri11Giovanni Francesco Pellicanò12Giuseppe Nunnari13Emmanuele Venanzi Rullo14Infectious Disease Department, University Hospital Policlinico “G. Rodolico- San Marco” of Catania, 95121 Catania, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Catania, 95122 Catania, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Catania, 95122 Catania, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyDivision of Medicine and Hepatology, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Catania, 95122 Catania, ItalyUnit of Microbiology, Department of Adult and Childhood Human Pathology “G. Barresi”, University of Messina, 98125 Messina, ItalyUnit of Microbiology, Department of Adult and Childhood Human Pathology “G. Barresi”, University of Messina, 98125 Messina, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Catania, 95122 Catania, ItalyUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, ItalySARS-CoV-2 has been identified in multiple organs and fluids, including the liver and peritoneal fluid. Gastrointestinal symptoms, such as abdominal pain, diarrhea, nausea, and vomiting, can exacerbate COVID-19 outcomes by contributing to complications, like acid–base imbalances and cardiovascular dysfunction, particularly in patients with pre-existing conditions. We report three cases of COVID-19 cirrhotic patients with SARS-CoV-2 detected in their ascitic fluid and review the relevant literature on the virus’s presence and clinical significance in peritoneal fluid. These findings underscore diagnostic and prognostic challenges in managing COVID-19 in patients with chronic liver disease and highlight the need for further research to clarify viral dissemination mechanisms and optimize protective measures for healthcare workers during surgical procedures.https://www.mdpi.com/2673-8112/5/4/58COVID-19ascitic fluidperitonitisperitoneal fluidliver diseaseviral hepatitis |
| spellingShingle | Grazia Caci Andrea Marino Edoardo Campanella Ylenia Russotto Cristina Micali Natascia Laganà Aldo Sitibondo Roberto Filomia Antonino Botindari Serena Spampinato Giuseppe Mancuso Angelina Midiri Giovanni Francesco Pellicanò Giuseppe Nunnari Emmanuele Venanzi Rullo Detection of SARS-CoV-2 in Ascitic Fluid of Cirrhotic COVID-19 Patients: Case Series and Literature Review COVID COVID-19 ascitic fluid peritonitis peritoneal fluid liver disease viral hepatitis |
| title | Detection of SARS-CoV-2 in Ascitic Fluid of Cirrhotic COVID-19 Patients: Case Series and Literature Review |
| title_full | Detection of SARS-CoV-2 in Ascitic Fluid of Cirrhotic COVID-19 Patients: Case Series and Literature Review |
| title_fullStr | Detection of SARS-CoV-2 in Ascitic Fluid of Cirrhotic COVID-19 Patients: Case Series and Literature Review |
| title_full_unstemmed | Detection of SARS-CoV-2 in Ascitic Fluid of Cirrhotic COVID-19 Patients: Case Series and Literature Review |
| title_short | Detection of SARS-CoV-2 in Ascitic Fluid of Cirrhotic COVID-19 Patients: Case Series and Literature Review |
| title_sort | detection of sars cov 2 in ascitic fluid of cirrhotic covid 19 patients case series and literature review |
| topic | COVID-19 ascitic fluid peritonitis peritoneal fluid liver disease viral hepatitis |
| url | https://www.mdpi.com/2673-8112/5/4/58 |
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