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COVID-19 的非典型和新型表现:三例儿童病例系列。

Atypical and novel presentations of Coronavirus Disease 2019: a case series of three children.

机构信息

Division of Pediatric Intensive Care Unit, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences , Tehran, Iran.

Pediatric Infectious Disease Research Center, Tehran University of Medical Science , Tehran, Iran.

出版信息

Br J Biomed Sci. 2021 Jan;78(1):47-52. doi: 10.1080/09674845.2020.1785102. Epub 2020 Jul 15.

Abstract

Typical presentations of Coronavirus Disease 2019 (Covid-19) including respiratory symptoms (cough, respiratory distress and hypoxia), fever and dyspnoea are considered main symptoms in adults, but atypical presentation in children could be a diagnostic challenge. We report three children whose initial presentation was gastrointestinal, and in whom Covid-19 infection was found, concluding that cases of acute appendicitis, mesenteric adenitis and flank tenderness may mask an infection with this virus, and should therefore be investigated.

摘要

新型冠状病毒病 2019(Covid-19)的典型表现包括呼吸道症状(咳嗽、呼吸窘迫和缺氧)、发热和呼吸困难,这些被认为是成人的主要症状,但儿童的非典型表现可能是诊断的挑战。我们报告了三例最初表现为胃肠道的儿童病例,发现了 Covid-19 感染,结论是急性阑尾炎、肠系膜淋巴结炎和肋脊角压痛的病例可能掩盖了这种病毒的感染,因此应该进行调查。

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