Every day, we learn more about the symptoms of coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). While the primary symptoms are fever, cough and respiratory difficulty, gastrointestinal symptoms may be present as well and fecal-oral transmission appears possible. This phenomenon could be due to a combination of the presence in the gastrointestinal tract of angiotensin converting enzyme-2 (ACE2) receptors, which are the SARS-CoV-2 binding site, as well as direct damage from an inflammatory response to viral shedding in the gastrointestinal tract.

 

 

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