Mahmoudi Shima, Rostamyan Maryam, Aziz-Ahari Alireza, Pourakbari Babak, Ghaffari Mohammad, Mamishi Setareh
Pediatric Infectious Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Infectious Diseases, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Tanaffos. 2020 Nov;19(2):156-159.
The outbreak of coronavirus disease 2019 (COVID-19) is evolving rapidly. However, there is limited information about this disease in children and adolescents. Only a few pediatric cases of COVID-19 have been reported so far. Since the immune responses of children are different from adults, their clinical findings and therapeutic responses may differ. To the best of our knowledge, this is the first confirmed case of COVID-19 in a 12-year-old girl with abdominal pain in Iran.
A 12-year-old girl with a history of cold, dry cough, sore throat, fever, and left-sided abdominal pain was referred to the Children's Medical Center, Tehran, Iran, on March 7, 2020. The chest X-ray indicated air space opacification in the right lower lobe and faint ground-glass opacity in the left lower lung. A subsequent chest computed tomography (CT) scan indicated blialteral patchy lower lobe consolidations. The patient's oropharyngeal swab was positive for COVID-19, based on the result of real-time reverse transcription-polymerase chain reaction (rRT-PCR) assay. The patient's clinical status was improved, and she was discharged five days after admission (March 11, 2020).
Since the number of infected cases with COVID-19 is growing rapidly in Iran, early detection and management of infected cases are highly recommended for preventing the disease transmission and reducing the rate of infection.
2019年冠状病毒病（COVID-19）疫情正在迅速演变。然而，关于儿童和青少年感染这种疾病的信息有限。迄今为止，仅报告了少数几例儿童COVID-19病例。由于儿童的免疫反应与成人不同，他们的临床表现和治疗反应可能也有所不同。据我们所知，这是伊朗首例确诊的12岁腹痛女童COVID-19病例。
一名有感冒、干咳、喉咙痛、发热和左侧腹痛病史的12岁女童于2020年3月7日被转诊至伊朗德黑兰儿童医学中心。胸部X线显示右下叶气腔混浊，左下肺有模糊的磨玻璃影。随后的胸部计算机断层扫描（CT）显示双侧下叶斑片状实变。根据实时逆转录-聚合酶链反应（rRT-PCR）检测结果，患者的口咽拭子COVID-19呈阳性。患者的临床状况有所改善，入院五天后（2020年3月11日）出院。
由于伊朗COVID-19感染病例数量迅速增加，强烈建议尽早发现和管理感染病例，以防止疾病传播并降低感染率。
