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