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Complicated Appendicitis in a Pediatric Patient With COVID-19: A Case Report
Abdulaziz B Alsuwailem1, Reem Turkistani2, Mashael Alomari2
1Emergency Department, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU.
Insights
Perforated appendicitis in children with COVID-19 presents similarly to other cases. Standard treatment with open appendectomy and antibiotics was successful, suggesting no change in care is needed.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Critical Care Medicine
Background:
- Perforated appendicitis is a serious complication of acute appendicitis in children, increasing morbidity.
- The co-occurrence of perforated appendicitis and coronavirus disease 2019 (COVID-19) presents a unique clinical scenario.
- Understanding the clinical presentation and management of complicated appendicitis in pediatric patients with COVID-19 is crucial.
Abstract:
Perforated appendicitis is a well-known complication of acute appendicitis (AA), which increases the morbidity rate in children. This report discusses the case of a pediatric patient with perforated appendicitis with a secondary diagnosis of coronavirus disease 2019 (COVID-19). The clinical presentation of complicated appendicitis (CA) in association with COVID-19 may not be different from that in the general population. Our patient underwent successful management with open appendectomy and subsequent antibiotics. There is no evidence to alter the standard of care for such patients. So further studies are needed to provide more clarity on the appropriate management.
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