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Severe COVID-19 initially presenting as mesenteric adenopathy.
Noda, Sakura; Ma, Jimmy; Romberg, Erin K; Hernandez, Rafael E; Ferguson, Mark R.
  • Noda S; Department of Radiology, Seattle Children's Hospital, M/S MA.7.220, P.O. Box 5731, Seattle, WA, 98104-5005, USA. sakura.noda@seattlechildrens.org.
  • Ma J; Department of Radiology, University of Washington, Seattle, WA, USA. sakura.noda@seattlechildrens.org.
  • Romberg EK; Division of Infectious Diseases, Department of Medicine, University of Washington, Seattle, WA, USA.
  • Hernandez RE; Department of Radiology, Seattle Children's Hospital, M/S MA.7.220, P.O. Box 5731, Seattle, WA, 98104-5005, USA.
  • Ferguson MR; Department of Radiology, University of Washington, Seattle, WA, USA.
Pediatr Radiol ; 51(1): 140-143, 2021 01.
Article in English | MEDLINE | ID: covidwho-1064454
ABSTRACT
Coronavirus disease 2019 (COVID-19) can present with abdominal pain in children and adults. Most imaging findings have been limited to characteristic lung findings, as well as one report of bowel-ischemia-related findings in adults. We report a case of COVID-19 in a healthy teenager who initially presented with isolated mesenteric adenopathy, typically a self-limited illness, which progressed to severe illness requiring intensive care before complete recovery. The boy tested negative for COVID-19 twice by polymerase chain reaction (PCR) from upper respiratory swabs before sputum PCR resulted positive. A high index of suspicion should be maintained for COVID-19 given the continued emergence of new manifestations of the disease.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Peritoneal Diseases / Lymphadenopathy / COVID-19 Testing / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Adolescent / Humans / Male Language: English Journal: Pediatr Radiol Year: 2021 Document Type: Article Affiliation country: S00247-020-04789-9

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Peritoneal Diseases / Lymphadenopathy / COVID-19 Testing / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Adolescent / Humans / Male Language: English Journal: Pediatr Radiol Year: 2021 Document Type: Article Affiliation country: S00247-020-04789-9