Prevalence of COVID-19 in Children with Gastrointestinal Manifestations: A Cross-Sectional Study of 184 Cases in 2020 - 2021

IF 0.5 Q4 PEDIATRICS

Archives of Pediatric Infectious Diseases Pub Date : 2022-10-25 DOI:10.5812/pedinfect-121640

M. Ataollahi, Seyedeh Sedigheh Hamzavi, S. Dehghani, M. Haghighat, M. Imanieh, N. Honar, K. Jahanshahi, Behnaz Darban, Hoda Haghshenas, M. Bagherzadeh, Abbas Avazpour, Fereshteh Karbasian, Fatima Mohamad Ghandour

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引用次数: 0

Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic has affected human life for more than a year. Coronavirus disease 2019 is well known for its respiratory manifestations; however, other important symptoms help with its diagnosis. Although clinical presentations in adults have been understood, clinical data in pediatric COVID-19 cases are still lacking. Objectives: We investigated gastrointestinal (GI) manifestations of COVID-19 in pediatric cases. Methods: This study included 184 cases with GI manifestations referred to the pediatric emergency department of Namazi hospital from 20 March to 20 November 2020. Their clinical and laboratory data were extracted and analyzed with SPSS22. Results: Of 184 patients, 51 had positive SARS-CoV-2 PCR results. The most common symptom in SARS-CoV-2-positive patients was vomiting in 22 (43%) patients, followed by watery diarrhea in 12 (23.5%) and dysentery in 11 (21%). Significantly elevated CRP (P value = 0.002), ESR (P value < 0.001), and lymphocyte count (P value = 0.037) were found in PCR-positive patients. Conclusions: Our result demonstrates that COVID-19 could present with different GI symptoms. Also, the symptoms and lab data could help clinicians diagnose COVID-19, besides other differential diagnoses in pediatric patients with GI symptoms.

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有胃肠道症状的儿童中COVID-19的患病率:2020 - 2021年184例的横断面研究

背景：2019冠状病毒病（新冠肺炎）大流行已影响人类生活一年多。2019冠状病毒病以其呼吸道表现而闻名；然而，其他重要症状有助于诊断。尽管已经了解了成人的临床表现，但儿科新冠肺炎病例的临床数据仍然缺乏。目的：研究新冠肺炎患儿的胃肠道（GI）表现。方法：本研究纳入了2020年3月20日至11月20日在纳马兹医院儿科急诊科转诊的184例胃肠道表现病例。提取他们的临床和实验室数据，并用SPSS22进行分析。结果：在184名患者中，51名患者的严重急性呼吸系统综合征冠状病毒2型PCR结果呈阳性。严重急性呼吸系统综合征冠状病毒2型阳性患者最常见的症状是呕吐22例（43%），其次是水样腹泻12例（23.5%）和痢疾11例（21%）。PCR阳性患者的CRP（P值=0.002）、ESR（P值<0.001）和淋巴细胞计数（P值0.037）显著升高。结论：我们的研究结果表明，新冠肺炎可能表现出不同的胃肠道症状。此外，这些症状和实验室数据可以帮助临床医生诊断新冠肺炎，以及对有胃肠道症状的儿科患者的其他鉴别诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Pediatric Infectious Diseases PEDIATRICS-

CiteScore

1.80

自引率

14.30%

发文量

期刊介绍： Archives Of Pediatric Infectious Disease is a clinical journal which is informative to all practitioners like pediatric infectious disease specialists and internists. This authoritative clinical journal was founded by Professor Abdollah Karimi in 2012. The Journal context is devoted to the particular compilation of the latest worldwide and interdisciplinary approach and findings including original manuscripts, meta-analyses and reviews, health economic papers, debates and consensus statements of clinical relevance to pediatric disease field, especially infectious diseases. In addition, consensus evidential reports not only highlight the new observations, original research and results accompanied by innovative treatments and all the other relevant topics but also include highlighting disease mechanisms or important clinical observations and letters on articles published in the journal.