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Case Reports
. 2020 Aug;39(8):e195-e198.
doi: 10.1097/INF.0000000000002777.

Severe SARS-CoV-2 Infection in Children With Suspected Acute Abdomen: A Case Series From a Tertiary Hospital in Spain

Marta Cabrero-Hernández  1 , Alberto García-Salido  1 , Inés Leoz-Gordillo  1 , Jose Antonio Alonso-Cadenas  2 , Ainhoa Gochi-Valdovinos  1 , Anthony González Brabin  1 , Gema De Lama Caro-Patón  1 , Montserrat Nieto-Moro  1 , Amelia Martínez- de-Azagra-Garde  1 , Ana Serrano-González  1
Affiliations
Case Reports

Severe SARS-CoV-2 Infection in Children With Suspected Acute Abdomen: A Case Series From a Tertiary Hospital in Spain

Marta Cabrero-Hernández et al. Pediatr Infect Dis J. 2020 Aug.

Abstract

We describe 5 children with severe SARS-CoV-2 infection, hemodynamic instability and suspected acute abdomen. This form of the disease has not been previously documented. Four of the cases were confirmed SARS-CoV-2 infection and 1 probable. All of them were previously healthy and needed a pediatric critical care unit admission. The respiratory symptoms were not dominant or were absent. Also, fever was observed. Laboratory testing revealed lymphopenia and high levels of C-reactive protein and procalcitonin with D-dimer, ferritin and interleukin-6 usually elevated. Respiratory support and inotropic support were almost always necessary. In all of them, deterioration occurred on the day of admission.

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References

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