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Published on: December 19, 2020
A lethargic child with COVID-19 infection
1Hyun J. Yi is an emergency medicine PA resident at William Beaumont Army Medical Center in El Paso, Tex. Brian J. Ahern is research director of the Army-Baylor University Emergency Medicine Physician Assistant Program at William Beaumont Army Medical Center and practices in the Department of Emergency Medicine at William Beaumont Army Medical Center. The authors have disclosed no potential conflicts of interest, financial or otherwise.
COVID-19 can cause severe gastrointestinal symptoms in children, even without respiratory issues. This case highlights a 20-month-old diagnosed with intussusception due to COVID-19 infection.
Area of Science:
- Pediatrics
- Infectious Diseases
- Gastroenterology
Background:
- COVID-19 infection in children is not fully understood.
- While often mild, severe and atypical presentations occur.
- Gastrointestinal symptoms in children warrant COVID-19 suspicion.
Observation:
- A 20-month-old girl with known COVID-19 exposure presented with acute abdomen and lethargy.
- The patient had no respiratory symptoms.
Findings:
- The child was diagnosed with COVID-19 infection.
- The infection was complicated by intussusception.
Implications:
- This case underscores the importance of considering COVID-19 in children with unexplained gastrointestinal issues.
- Early diagnosis and management are crucial for severe pediatric COVID-19 presentations.
- Intussusception is a potential complication of pediatric COVID-19.
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