Open AccessGastrointestinal manifestations as the initial presentation of COVID 19 in pediatrics
Author(s) -
Ana Paula de Souza,
Flavia Matos,
Rosana Flintz,
Roberta C. C. Marliere,
Mariana Presti,
Falconiere,
; Cláudia
Publication year - 2020
Publication title -
residência pediátrica
Language(s) - English
Resource type - Journals
ISSN - 2236-6814
DOI - 10.25060/residpediatr-2020.v10n3-366
Subject(s) - medicine , asymptomatic , pediatrics , abdominal pain , presentation (obstetrics) , pediatric intensive care unit , population , pandemic , covid-19 , disease , surgery , infectious disease (medical specialty) , environmental health
Initial research on SARS-COV 2 (Severe Acute Respiratory Syndrome Coronavirus 2) appeared to demonstrate that children infected with the virus remained asymptomatic or had only mild to moderate conditions. The most common symptoms were fever and cough. However, in a later phase of the pandemic, numerous other aspects of clinical presentation in the pediatric public were observed, especially gastrointestinal conditions. In the present study, patients monitored at the Pediatric Intensive Care Unit of the Hospital Estadual Adão Pereira Nunes from April 17, 2020 until June 17, 2020, who had detectable PCR-RT (Polymerase Chain Reaction -Trasncriptase) or positive serology for COVID 19 (Coronavirus disease 19). This is a hospital unit that is not a reference for COVID 19, and its target audience is trauma victims.The initial symptoms of most hospitalized patients with clinical suspicion were fever and gastrointestinal symptoms, with significant abdominal pain standing out, mimicking acute abdomen. Signs and symptoms that differ from adults, who have respiratory manifestations as a starting point. Based on the recognition of the different clinical presentations of SARS-COV 2 in the pediatric population, an early diagnosis is possible, with better conduction and outcome.