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Severe SARS-CoV-2 Infection in Children With Suspected Acute Abdomen: A Case Series From a Tertiary Hospital in Spain #MMPMID32467457
Cabrero-Hernandez M; Garcia-Salido A; Leoz-Gordillo I; Alonso-Cadenas JA; Gochi-Valdovinos A; Gonzalez Brabin A; De Lama Caro-Paton G; Nieto-Moro M; de-Azagra-Garde AM; Serrano-Gonzalez A
Pediatr Infect Dis J 2020[Aug]; 39 (8): e195-e198 PMID32467457show ga
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.