Dysentery as the only presentation of COVID-19 in a child: a case report

Journal of Medical Case Reports

Mohammad Tamaddondar¹  Nazanin Farahbakhsh²  Marjan Tariverdi³  Hamed Gouklani⁴  Fatemeh Khosravifar⁵ 

[1] Department of Nephrology and Internal Medicine, Shahid Mohammadi Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran;Department of Pediatric Pulmonology, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Department of Pediatric, Clinical Research Development Center of Children Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran;Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran;Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran;

关键词: COVID-19;    Dysentery;    SARS-CoV-2;    Pediatric;    Case report;   

DOI  :  10.1186/s13256-021-02672-1

来源: Springer

【 摘 要 】

IntroductionThe coronavirus disease 2019 (COVID-19) pandemic has caused irreparable damage to society, and the damage continues. Pediatricians are confrontedwith 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 presentationHere 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.ConclusionsThe 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.

【 授权许可】

CC BY