Intussusception in a child with COVID-19 in the USA
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CASE REPORT
Intussusception in a child with COVID-19 in the USA Eseosa Amy Bazuaye-Ekwuyasi 1 & Alvin C. Camacho 1 & Florentino Saenz Rios 2 & Andrew Torck 2 & Woongsoon John Choi 1 & Ebelosele E. Aigbivbalu 3 & Mohammed Q. Mehdi 3 & Kyle J. Shelton 3 & Geetha L. Radhakrishnan 3 & Ravi S. Radhakrishnan 4 & Leonard E. Swischuk 1 Received: 17 August 2020 / Accepted: 27 September 2020 # American Society of Emergency Radiology 2020
Abstract COVID-19, caused by the novel coronavirus strain SARS-CoV-2 that emerged in late 2019, has resulted in a global pandemic. COVID-19 was initially believed to occur less frequently in children with relatively mild disease. However, severe disease and varied presentations have been reported in infected children, one of such being intussusception. There have only been three reported cases of intussusception in the pediatric population infected with COVID-19. In this paper, we will discuss the management and treatment of a novel fourth case of COVID-19-associated intussusception. This case is the first reported in the USA and suggests that COVID-19 may be implicated in the development of intussusception. Pediatricians should consider the possibility of intussusception when a child with COVID-19 presents with abdominal pain. Keywords Pediatrics . Intussusception . COVID-19 . Coronavirus . SARS-CoV-2
Abbreviations SARS-CoV-2 COVID-19 GI PCR AXR WHO MIS-C CDC Tmax
What’s new? Severe acute respiratory syndrome coronavirus 2 Coronavirus 2019 Gastrointestinal Polymerase chain reaction Abdominal radiograph World Health Organization Multisystem inflammatory syndrome in children Centers for Disease Control Maximum temperature
* Alvin C. Camacho [email protected] 1
Department of Radiology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA
2
School of Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA
3
Department of Pediatrics, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA
4
Department of Surgery, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA
There have been three reported cases of intussusception associated with COVID-19 worldwide [1–3] with ours being the fourth case and the first in the USA.
Introduction The severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) virus first appeared in late 2019 and is responsible for the global coronavirus 2019 (COVID-19) pandemic. Unlike in the adult population where respiratory symptoms are characteristic, few infected children are symptomatic with only about half presenting with fever or cough. Additionally, gastrointestinal (GI) symptoms have been documented to occur more commonly in children than in adults. Intussusception is a possible but rare GI manifestation of COVID-19 infection with only three other reported cases worldwide [1–3], making this case the first of its kind to be reported in the USA.
Case presentation A 9-month-old Hispanic male initially presented to the outpatient clinic on
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