Danley Kelsey, Kent Paul
Internal Medicine, Rush University Medical Center, Chicago, Illinois, United States
Pediatrics, Rush University Medical Center, Chicago, Illinois, United States.
BMJ Case Rep. 2020 Jun 30;13(6):e236264. doi: 10.1136/bcr-2020-236264.
A 4-month-old boy with a history of muscular ventricular septal defect and atopic dermatitis presented with decreased oral intake, loose stools, stuffy nose, mild cough and diaphoresis. The patient had an in-home exposure to COVID-19. The initial respiratory pathogen panel was positive for adenovirus, consistent with his symptoms. The following day, the COVID-19 PCR was also positive. The patient was treated with supportive care, isolation precautions were implemented and the patient was discharged on day 4. This case demonstrates the importance of testing for COVID-19 even if a patient tests positive for another virus due to the possibility of coinfection, especially in children, in order to limit spread of COVID-19 to others.
一名4个月大的男童,有室间隔肌部缺损和特应性皮炎病史,出现了进食减少、腹泻、鼻塞、轻度咳嗽和多汗症状。该患者在家中接触过新冠病毒。最初的呼吸道病原体检测显示腺病毒呈阳性,与他的症状相符。第二天,新冠病毒聚合酶链反应(PCR)检测也呈阳性。患者接受了支持性治疗,采取了隔离预防措施,并于第4天出院。该病例表明,即使患者因其他病毒检测呈阳性,鉴于存在合并感染的可能性,尤其是在儿童中,对新冠病毒进行检测以限制其传播给他人仍很重要。