tetano
Editor, Senior Moderator
J Med Case Rep
. 2021 Feb 8;15(1):65.
doi: 10.1186/s13256-021-02672-1.
Dysentery as the only presentation of COVID-19 in a child: a case report
Marjan Tariverdi[SUP] 1 [/SUP], Nazanin Farahbakhsh[SUP] 2 [/SUP], Hamed Gouklani[SUP] 3 [/SUP], Fatemeh Khosravifar[SUP] 4 [/SUP], Mohammad Tamaddondar[SUP] 5 [/SUP]
Affiliations
Abstract
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has caused irreparable damage to society, and the damage continues. Pediatricians are confronted with COVID-19 in a variety of presentations, which may lead to delayed diagnosis and treatment. Early diagnosis of the disease plays an important role in preventing transmission of the virus in the community.
Case presentation: Here we report a 27-month-old previously healthy Iranian female child who presented with fever and bloody diarrhea, diagnosed with COVID-19 based on contact history, exclusion of enteric bacterial pathogens and parasites, and positive stool and nasopharyngeal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse transcriptase polymerase chain reaction (RT-PCR) tests. The patient had viral shedding for more than a month.
Conclusions: The pediatric population usually does not present with typical clinical features of COVID-19, which are respiratory involvement. Dysentery may be the only presentation of this disease, and long-term isolation should be considered, as the viral shedding may last for more than a month.
Keywords: COVID-19; Case report; Dysentery; Pediatric; SARS-CoV-2.
. 2021 Feb 8;15(1):65.
doi: 10.1186/s13256-021-02672-1.
Dysentery as the only presentation of COVID-19 in a child: a case report
Marjan Tariverdi[SUP] 1 [/SUP], Nazanin Farahbakhsh[SUP] 2 [/SUP], Hamed Gouklani[SUP] 3 [/SUP], Fatemeh Khosravifar[SUP] 4 [/SUP], Mohammad Tamaddondar[SUP] 5 [/SUP]
Affiliations
- PMID: 33557906
- DOI: 10.1186/s13256-021-02672-1
Abstract
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has caused irreparable damage to society, and the damage continues. Pediatricians are confronted with COVID-19 in a variety of presentations, which may lead to delayed diagnosis and treatment. Early diagnosis of the disease plays an important role in preventing transmission of the virus in the community.
Case presentation: Here we report a 27-month-old previously healthy Iranian female child who presented with fever and bloody diarrhea, diagnosed with COVID-19 based on contact history, exclusion of enteric bacterial pathogens and parasites, and positive stool and nasopharyngeal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse transcriptase polymerase chain reaction (RT-PCR) tests. The patient had viral shedding for more than a month.
Conclusions: The pediatric population usually does not present with typical clinical features of COVID-19, which are respiratory involvement. Dysentery may be the only presentation of this disease, and long-term isolation should be considered, as the viral shedding may last for more than a month.
Keywords: COVID-19; Case report; Dysentery; Pediatric; SARS-CoV-2.