Pediatr Radiol . Severe COVID-19 initially presenting as mesenteric adenopathy

[tetano]

Pediatr Radiol


. 2020 Oct 10.
doi: 10.1007/s00247-020-04789-9. Online ahead of print.
Severe COVID-19 initially presenting as mesenteric adenopathy


Sakura Noda ^{1 2} , Jimmy Ma ³ , Erin K Romberg ^{4 5} , Rafael E Hernandez ^{6 7} , Mark R Ferguson ^{4 5}



Affiliations

• PMID: 33037889
• DOI: 10.1007/s00247-020-04789-9

Abstract

Coronavirus disease 2019 (COVID-19) can present with abdominal pain in children and adults. Most imaging findings have been limited to characteristic lung findings, as well as one report of bowel-ischemia-related findings in adults. We report a case of COVID-19 in a healthy teenager who initially presented with isolated mesenteric adenopathy, typically a self-limited illness, which progressed to severe illness requiring intensive care before complete recovery. The boy tested negative for COVID-19 twice by polymerase chain reaction (PCR) from upper respiratory swabs before sputum PCR resulted positive. A high index of suspicion should be maintained for COVID-19 given the continued emergence of new manifestations of the disease.

Keywords: Abdomen; Adolescent; COVID-19; Computed tomography; Coronavirus; Lymph nodes; Mesentery; Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).