1. Severe SARS-CoV-2 Infection in Children With Suspected Acute Abdomen: A Case Series From a Tertiary Hospital in Spain.
- Author
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Cabrero-Hernández M, García-Salido A, Leoz-Gordillo I, Alonso-Cadenas JA, Gochi-Valdovinos A, González Brabin A, De Lama Caro-Patón G, Nieto-Moro M, de-Azagra-Garde AM, and Serrano-González A
- Subjects
- Abdomen, Acute complications, Abdomen, Acute diagnostic imaging, Abdomen, Acute therapy, Adolescent, Betacoronavirus, COVID-19, Child, Coronavirus Infections complications, Coronavirus Infections diagnostic imaging, Coronavirus Infections therapy, Cough, Fever, Hospitalization, Humans, Pandemics, Pneumonia, Viral complications, Pneumonia, Viral diagnostic imaging, Pneumonia, Viral therapy, SARS-CoV-2, Skin pathology, Spain, Thorax diagnostic imaging, Abdomen, Acute physiopathology, Coronavirus Infections physiopathology, Pneumonia, Viral physiopathology, Tertiary Care Centers
- Abstract
We describe 5 children with severe SARS-CoV-2 infection, hemodynamic instability and suspected acute abdomen. This form of the disease has not been previously documented. Four of the cases were confirmed SARS-CoV-2 infection and 1 probable. All of them were previously healthy and needed a pediatric critical care unit admission. The respiratory symptoms were not dominant or were absent. Also, fever was observed. Laboratory testing revealed lymphopenia and high levels of C-reactive protein and procalcitonin with D-dimer, ferritin and interleukin-6 usually elevated. Respiratory support and inotropic support were almost always necessary. In all of them, deterioration occurred on the day of admission.
- Published
- 2020
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