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COVID-19 and abdominal pain: a pediatric case report and a point of view in pediatric emergency medicine.
Rinaldi, V E; D'Alonzo, R; Di Cara, G; Verrotti, A.
  • Rinaldi VE; Pediatric Unit, San Giovanni Battista Hospital, Foligno, Italy. victoria.rinaldi87@gmail.com.
Eur Rev Med Pharmacol Sci ; 25(22): 7115-7126, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1552078
ABSTRACT
COVID-19 is to date a global pandemic that can affect all age groups; gastrointestinal symptoms are quite common in patients with COVID-19 and a new clinical entity defined as Multisystem Inflammatory Syndrome in Children (MIS-C) has been described in children and adolescents previously affected by COVID-19. Presenting symptoms of this new disease include high fever and severe abdominal pain that can mimic more common causes of abdominal pain; patients can rapidly deteriorate presenting severe cardiac dysfunction and multiorgan failure. Some fatalities due to this serious illness have been reported. We describe the case of a ten-year-old patient presenting with persistent high fever associated with continuous and worsening abdominal pain. Various hypotheses were performed during his diagnostic workup and an initial appendectomy was performed in the suspect of acute appendicitis. As his clinical picture deteriorated, the child was subsequently diagnosed and successfully treated as a case of MIS-C. The objective of this case report and brief review of abdominal pain in children throughout the age groups is to provide the emergency pediatrician with updated suggestions in diagnosing abdominal pain in children during the COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Abdominal Pain / Systemic Inflammatory Response Syndrome / Pediatric Emergency Medicine / COVID-19 Type of study: Case report / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans / Male Language: English Journal: Eur Rev Med Pharmacol Sci Journal subject: Pharmacology / Toxicology Year: 2021 Document Type: Article Affiliation country: Eurrev_202111_27265

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Abdominal Pain / Systemic Inflammatory Response Syndrome / Pediatric Emergency Medicine / COVID-19 Type of study: Case report / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans / Male Language: English Journal: Eur Rev Med Pharmacol Sci Journal subject: Pharmacology / Toxicology Year: 2021 Document Type: Article Affiliation country: Eurrev_202111_27265