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Covid-19 presenting as a bulging fontanelle.

Jared Schiff¹, Courtney Brennan¹

¹Division of Emergency Medicine and Transport, Children's Hospital Los Angeles, USA.

The American Journal of Emergency Medicine

|February 6, 2021

Summary

COVID-19 can present uniquely in infants, differing from older populations. This case highlights a bulging anterior fontanelle as a potential, isolated symptom in infants with coronavirus disease 2019.

Keywords:

Bulging fontanelle Covid-19 Pediatric

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Area of Science:

Pediatrics
Infectious Diseases
Virology

Background:

The global COVID-19 pandemic has impacted all age groups, including children.
While severe illness is more common in older adults, pediatric cases of COVID-19 require careful consideration.
Infants, particularly those under twelve months, may exhibit distinct symptoms of COVID-19.

Observation:

A case of COVID-19 infection in an infant is presented.
The infant presented with a bulging anterior fontanelle.
No other symptoms were observed in the infant.

Findings:

The infant tested positive for SARS-CoV-2, the virus causing COVID-19.
A bulging anterior fontanelle was the sole presenting sign of infection.
This suggests a potentially atypical presentation of COVID-19 in very young children.

Implications:

Recognizing varied clinical presentations of COVID-19 in infants is crucial for timely diagnosis.
A bulging fontanelle, typically associated with other conditions, should be considered in the differential diagnosis of COVID-19 in infants.
Further research is needed to understand the spectrum of COVID-19 symptoms in infants and inform clinical management.