Serial computed tomographic findings and specific clinical features of pediatric COVID-19 pneumonia: A case report

Xing Chen1, Xiao-Jie Zou1, Zhen Xu2

  • 1Department of Pediatrics, Huzhou Central Hospital, Affiliated Cent Hospital HuZhou University, Huzhou 313000, Zhejiang Province, China.

Insights

A pediatric case of COVID-19 pneumonia presented with fever, sore throat, and diarrhea. Antiviral treatment improved symptoms, suggesting potential fecal-oral transmission of SARS-CoV-2 in children.

Area of Science:

  • Virology
  • Pediatric Infectious Diseases
  • Public Health

Background:

  • The 2019 novel coronavirus (SARS-CoV-2) caused a global pandemic of pneumonia, officially named COVID-19.
  • Initial reports focused on adult cases, with limited data on pediatric involvement.

Observation:

  • A 7-year-old girl diagnosed with COVID-19 exhibited fever, sore throat, diarrhea, and lung abnormalities on CT scans.
  • The patient also experienced mild kidney injury, and live SARS-CoV-2 was detected in her feces.

Findings:

  • Antiviral agents (lopinavir/ritonavir) were administered, leading to significant improvement within 3 days.
  • The clinical presentation and recovery pattern in this pediatric case differed from typical adult COVID-19 presentations.

Implications:

  • COVID-19 in children may manifest differently than in adults.
  • The presence of live virus in feces highlights the potential for fecal-oral transmission of SARS-CoV-2, necessitating further investigation and public health considerations.
Abstract

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