The roles of nausea and vomiting in COVID-19: did we miss something?

J Microbiol Immunol Infect. 2021 Aug;54(4):541-546. doi: 10.1016/j.jmii.2020.10.005. Epub 2020 Oct 17.

Abstract

The Coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is an international public health emergency. Although respiratory symptoms predominate the clinical manifestations of COVID-19, gastrointestinal symptoms have been observed in a subset of patients. Notably, some patients have nausea/vomiting as the first clinical manifestation of COVID-19, which is often overlooked by people. It is now clear that not only the lungs, the gastrointestinal tract could also be attacked by SARS-CoV-2. Its host receptor angiotensin-converting enzyme 2 (ACE2), which acts as a gateway to infection, has been found to be highly expressed in the gastrointestinal epithelium and may lead to the development of nausea/vomiting. Raise awareness of these symptoms and take timely intervention would help people combat the pandemic. This review discussed epidemiology, mechanisms, management, and prevention of COVID-19 related nausea and vomiting.

Keywords: COVID-19; Epidemiology; Mechanism; Nausea; Vomiting.

Publication types

  • Review

MeSH terms

  • Angiotensin-Converting Enzyme 2
  • COVID-19 / complications
  • COVID-19 / physiopathology*
  • COVID-19 / therapy
  • COVID-19 / virology
  • Humans
  • Nausea / epidemiology
  • Nausea / virology*
  • SARS-CoV-2 / physiology*
  • Vomiting / epidemiology
  • Vomiting / virology*

Substances

  • Angiotensin-Converting Enzyme 2