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Severe SARS-CoV-2 Infection in Children With Suspected Acute Abdomen: A Case Series From a Tertiary Hospital in Spain

2020; Lippincott Williams & Wilkins; Volume: 39; Issue: 8 Linguagem: Inglês

10.1097/inf.0000000000002777

1532-0987

Marta Cabrero‐Hernández, Alberto García‐Salido, Inés Leoz‐Gordillo, José Antonio Alonso‐Cadenas, Ainhoa Gochi-Valdovinos, Anthony González Brabin, Gema De Lama Caro‐Patón, Montserrat Nieto‐Moro, Amelia Martínez de Azagra‐Garde, Ana Serrano‐González,

COVID-19 Impact on Reproduction

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.