id author title date pages extension mime words sentences flesch summary cache txt cord-355131-ushv3n0z Giuffrè, Mauro COVID-19-Induced Thrombosis in Patients without Gastrointestinal Symptoms and Elevated Fecal Calprotectin: Hypothesis Regarding Mechanism of Intestinal Damage Associated with COVID-19 2020-09-16 .txt text/plain 1451 84 45 Background: Patients with coronavirus infectious disease 2019 (COVID-19) and gastrointestinal symptoms showed increased values of fecal calprotectin (FC). At the time of writing this letter, the principal cause of mortality in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is respiratory failure with exudative diffuse alveolar damage and massive capillary congestion often accompanied by microthrombi or, in lower percentages, by generalized thrombotic microangiopathy, as reported by post-mortem examinations [1] . Additionally, an autoptic study on the small intestine of two COVID-19 patients showed endotheliitis of the submucosa vessels and evidence of direct viral infection of endothelial cells [6] . Regarding the clinical presentation, gastrointestinal symptoms are present in up to 28% of patients with COVID-19 [7] [8] [9] , and fecal SARS-CoV-2-RNA was detected in approximately 50% of positive individuals [8] [9] [10] . [5] proposed the role of fecal calprotectin (FC) as a marker of intestinal inflammation in COVID-19 patients who developed gastrointestinal (GI) symptoms. ./cache/cord-355131-ushv3n0z.txt ./txt/cord-355131-ushv3n0z.txt