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Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis
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Published on: December 18, 2010

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"Inflammatory peritonitis in a child with COVID-19″

Paula H Takegawa1, Márcia Cavalaro Silva1, Caroline Belluco1

  • 1Division of Pediatric Surgery, Department of Surgery, State University of Campinas Medical School, Rua Tessalia Vieira de Camargo, 181, Cidade Universitária, 13083-887, Campinas, SP, Brazil.

Journal of Pediatric Surgery Case Reports
|October 18, 2021
PubMed

Insights

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can cause rare gastrointestinal issues in infants. This case highlights a 6-month-old presenting with intestinal obstruction and peritonitis due to SARS-CoV-2.

Area of Science:

  • Pediatric Gastroenterology
  • Infectious Diseases
  • Neonatal Surgery

Background:

  • Gastrointestinal (GI) manifestations of COVID-19 are documented in children, but are less common than respiratory symptoms.
  • Acute abdomen presentations in pediatric COVID-19 cases are exceptionally rare in existing literature.

Observation:

  • A 6-month-old infant presented with symptoms indicative of intestinal obstruction and generalized peritonitis.
  • No obvious cause for the acute abdominal condition was initially apparent.

Findings:

  • The infant tested positive for SARS-CoV-2 via rt-PCR.
  • This is the first reported case of SARS-CoV-2 presenting as an acute abdomen with intestinal obstruction and peritonitis in an infant.

Implications:

  • Clinicians should consider SARS-CoV-2 infection in infants presenting with acute abdominal symptoms, even without typical respiratory signs.
  • This case expands the spectrum of known pediatric COVID-19 presentations.
  • Further research is needed to understand the mechanisms linking SARS-CoV-2 to severe pediatric gastrointestinal complications.

Keywords:
Acute abdomenChildrenCovid 19

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