Severe SARS-CoV-2 infection in children with suspected acute abdomen: a case series from a tertiary hospital in Spain

M Cabrero-Hernandez, A Garcia-Salido… - The Pediatric …, 2020 - journals.lww.com
M Cabrero-Hernandez, A Garcia-Salido, I Leoz-Gordillo, JA Alonso-Cadenas…
The Pediatric infectious disease journal, 2020journals.lww.com
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 …
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.
Lippincott Williams & Wilkins