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Imaging Reveals Bowel Abnormalities in COVID-19 Patients

By MedImaging International staff writers
Posted on 03 Jun 2020

Image: Axial (A) and coronal (B) CT of the abdomen suggestive of early ischemia (Photo courtesy of RSNA)

A new study suggests that patients with COVID-19 can have bowel abnormalities, including ischemia, possibly due to small vessel thrombosis.

Researchers at Massachusetts General Hospital (MGH; Boston, USA) and Harvard Medical School (HMS; Boston, MA, USA) conducted a retrospective cross-sectional study that included 412 patients (average age 57 years; 241 men) who had tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The medical records of the patients were reviewed for clinical data, which showed that 17% had undergone cross-sectional abdominal imaging, including 44 ultrasounds, 42 computed tomography (CT) scans, and one magnetic resonance imaging (MRI).

The results revealed that abdominal imaging was associated with age and ICU admission. Abnormal bowel findings were seen in 31% of the CT scans (3.2% of all patients). The bowel findings included thickening and signs of ischemia, such as pneumatosis (gas in the bowel wall) and portal venous gas. Surgical correlation in four patients revealed unusual yellow discoloration of the bowel in three of the patients, and bowel infarction (dead bowel) in two patients, in which pathology demonstrated ischemic enteritis with patchy necrosis and fibrin thrombi in the arterioles.

Of the right upper quadrant ultrasounds, 87% were performed for liver laboratory findings, and 54% demonstrated a dilated, sludge-filled gallbladder, suggestive of cholestasis. Four patients who had a cholecystostomy tube placed had negative bacterial cultures. The researchers added that Angiotensin converting enzyme 2 (ACE2), a target of SARS-CoV-2, demonstrates its highest surface expression in the lung, small bowel, and vasculature, suggesting abdominal viscera may be susceptible to injury. The study was published on May 11, 2020, in Radiology.

“We found bowel abnormalities on imaging in patients with COVID-19, more commonly in sicker patients who went to the ICU. Some findings were typical of bowel ischemia, or dying bowel, and in those who had surgery we saw small vessel clots beside areas of dead bowel,” said lead author Rajesh Bhayana, MD, of the MGH department of radiology. “Patients in the ICU can have bowel ischemia for other reasons, but we know COVID-19 can lead to clotting and small vessel injury, so bowel might also be affected by this.”

Related Links:
Massachusetts General Hospital
Harvard Medical School

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63 (!!!!! 10396.003723145): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

64 (!!!!! 4863.0237579346): select jos_twitters.link from jos_twitters where cat=10

65 (!!!!! 1317.9779052734): select jos_facebook.link from jos_facebook where cat=10

66 (391.96014404297): select jos_google_plus.link from jos_google_plus where cat=10

67 (271.79718017578): select jos_linkedin.link from jos_linkedin where cat=10

68 (851.86958312988): SELECT fid FROM jos_deeppockets WHERE id=294782732 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294782732 AND published='1' LIMIT 1

69 (375.98609924316): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

70 (!!!!! 1658.2012176514): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294782732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (296.11587524414): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294782732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (354.76684570312): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (275.85029602051): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (751.01852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (522.85194396973): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294782732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (524.04403686523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294782732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (!!!!! 9047.9850769043): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (386.95335388184): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (105.85784912109): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (145.19691467285): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (496.14906311035): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (273.9429473877): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (190.97328186035): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (232.93495178223): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (380.03921508789): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (380.9928894043): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (404.83474731445): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (283.95652770996): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 5705.1181793213): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

105 (663.99574279785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

106 (226.97448730469): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294782732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (756.97898864746): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294782732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1785.0399017334): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

109 (931.97822570801): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

110 (559.09156799316): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294782732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (801.08642578125): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294782732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 3434.8964691162): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (!!!!! 3015.0413513184): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (173.09188842773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

115 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

116 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

117 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

118 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

119 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

120 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

121 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

122 (!!!!! 1168.0126190186): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 195040.9412384): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (698.08959960938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294782732 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294782732 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 56735.992431641): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (510.93101501465): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (77.009201049805): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (!!!!! 4268.1694030762): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (!!!!! 7290.1248931885): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (643.01490783691): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (!!!!! 2603.0540466309): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (!!!!! 4688.024520874): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (!!!!! 1273.8704681396): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (642.06123352051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (746.01173400879): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (547.17063903809): SELECT name FROM jos_deeppockets WHERE id=215

138 (354.05158996582): SELECT name FROM jos_deeppockets WHERE id=215

139 (593.90068054199): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (!!!!! 1007.080078125): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 1936.1972808838): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

142 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

143 (!!!!! 21284.103393555): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 7045.0305938721): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294782732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (941.99180603027): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294782732 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (888.10920715332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 1270.055770874): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2424.0016937256): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

149 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

150 (!!!!! 3350.9731292725): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (!!!!! 2974.0333557129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

152 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

153 (!!!!! 2767.0860290527): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294782732 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294782732 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (44.107437133789): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

155 (33.140182495117): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

156 (795.12596130371): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (516.17622375488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

158 (214.81513977051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294782732 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294782732 AND published='1' LIMIT 1

159 (!!!!! 2029.8957824707): select jos_twitters.link from jos_twitters where cat=10

160 (355.00526428223): select jos_facebook.link from jos_facebook where cat=10

161 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

162 (34.093856811523): select jos_linkedin.link from jos_linkedin where cat=10

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