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A child with household transmitted COVID-19

Li-Juan Mao1, Jian Xu2, Zhi-Hao Xu3

  • 1Department of Pediatrics, The Fourth Affiliated Hospital of Zhejiang University School of Medicine, N1 Shangcheng Avenue, Yiwu, 322000, Zhejiang Province, China.

BMC Infectious Diseases
|May 9, 2020
PubMed

Insights

This study reports a mild pediatric case of Coronavirus Disease 2019 (COVID-19) acquired through household transmission. The child remained infectious for SARS-CoV-2 via stool and swabs for over two weeks post-recovery.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Virology

Background:

  • Coronavirus Disease 2019 (COVID-19) affects all ages, but pediatric cases are less common.
  • Understanding clinical differences in pediatric COVID-19 is crucial.

Observation:

  • A 14-month-old boy presented with fever and mild COVID-19.
  • The child contracted COVID-19 from household contacts (mother and grandmother).
  • Chest CT showed ground glass opacities, resolving after treatment.

Findings:

  • The pediatric patient exhibited normal lymphocyte counts.
  • SARS-CoV-2 RNA remained detectable in nasopharyngeal swabs and stool 17 days after symptom resolution.
  • Mild symptoms and household transmission were noted.

Implications:

  • Pediatric COVID-19 cases may be contagious for extended periods post-recovery.
  • Further research is needed on the prolonged shedding of SARS-CoV-2 in children.
  • Clinical management of pediatric COVID-19 should consider potential post-recovery contagiousness.
Abstract

Keywords:
COVID-19ChildrenSARS-CoV-2

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