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Dysentery as the only presentation of COVID-19 in a child: a case report

Marjan Tariverdi1, Nazanin Farahbakhsh2, Hamed Gouklani3

  • 1Department of Pediatric, Clinical Research Development Center of Children Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Journal of Medical Case Reports
|February 9, 2021
PubMed

Insights

COVID-19 can present as dysentery in children, differing from typical respiratory symptoms. Prolonged viral shedding necessitates considering extended isolation periods for pediatric cases.

Area of Science:

  • Pediatric infectious diseases
  • Virology
  • Public health

Background:

  • The COVID-19 pandemic presents diagnostic challenges in children, who often lack typical respiratory symptoms.
  • Delayed diagnosis in pediatric cases can hinder community transmission control.
  • Understanding diverse clinical presentations is crucial for effective management.

Observation:

  • A 27-month-old girl presented with fever and bloody diarrhea, initially mimicking other enteric illnesses.
  • Diagnosis of COVID-19 was confirmed via positive SARS-CoV-2 RT-PCR in stool and nasopharyngeal samples.
  • The child exhibited prolonged viral shedding, exceeding one month.

Findings:

  • Pediatric COVID-19 can manifest primarily as dysentery, without respiratory involvement.
  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be detected in stool samples.
  • Extended viral shedding is a significant characteristic in some pediatric COVID-19 cases.

Implications:

  • Clinicians should consider COVID-19 in children presenting with unexplained dysentery.
  • The potential for prolonged viral shedding in pediatric patients warrants consideration for extended isolation protocols.
  • Public health strategies may need to adapt to non-respiratory presentations of COVID-19 in children.
Abstract

Keywords:
COVID-19Case reportDysenteryPediatricSARS-CoV-2

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