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Published on: November 7, 2020
A case series of pediatric COVID-19 with complicated symptoms in Iran
Fatemeh Cheraghali1, Leila Barati1, Dayan Amanian2
1Department of Pediatrics, School of Medicine, Taleghani Children's Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
Insights
This study highlights that children can experience severe symptoms from SARS-CoV-2 (the virus that causes COVID-19), contrary to milder expectations. Pediatricians must be aware of these complicated presentations in children, as adult data may not apply.
Area of Science:
- Pediatrics
- Infectious Diseases
- Virology
Background:
- The novel coronavirus, SARS-CoV-2, affects all age groups, but clinical manifestations of COVID-19 vary.
- While typically milder in children, COVID-19 can present with nonspecific symptoms in pediatric populations.
Observation:
- This case series details eight pediatric patients in Gorgan, Iran, admitted with complicated COVID-19 symptoms.
- These cases presented challenges for pediatricians due to atypical or severe disease progression.
Findings:
- The study identified complex and severe COVID-19 presentations in children.
- Reported symptoms and disease outcomes in these pediatric cases differed from typical expectations.
Implications:
- Findings underscore that adult COVID-19 data may not be directly applicable to children.
- Clinicians should maintain a high index of suspicion for severe COVID-19 in pediatric patients presenting with varied symptoms.
Abstract:
People in different age groups are susceptible to SARS-CoV-2 infection as a newly emerging virus. However, the clinical course, symptoms and disease outcome vary from case to case. Although COVID-19 is usually milder in children than adults, some studies reported nonspecific symptoms. Here, we report eight pediatric cases of COVID-19 admitted in the Taleghani Children Hospital in Gorgan city, north of Iran, with complicated symptoms. The current case series poses several challenges to the pediatricians regarding the pediatric cases of COVID-19. As most literature relating to adults are not always transferable to children, clinicians should be warned about such presentations among children with COVID-19.
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