Severe COVID-19 initially presenting as mesenteric adenopathy
Open accessAbstract
Coronavirus disease 2019 (COVID-19) can present with abdominal pain in children and adults. Most imaging findings have been limited to characteristic lung findings, as well as one report of bowel-ischemia-related findings in adults. We report a case of COVID-19 in a healthy teenager who initially presented with isolated mesenteric adenopathy, typically a self-limited illness, which progressed to severe illness requiring intensive care before complete recovery. The boy tested negative for COVID-19 twice by polymerase chain reaction (PCR) from upper respiratory swabs before sputum PCR resulted positive. A high index of suspicion should be maintained for COVID-19 given the continued emergence of new manifestations of the disease.
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- Authors
- Noda, S., Ma, J., Romberg, E. K., Hernandez, R. E., & Ferguson, M. R.
- Affiliations
- Seattle Children's Hospital (US)
- University of Washington (US)
- Corresponding author
- Noda, Sakura
- Venue
- Pediatric Radiology
- Published
- 2020-10-10
- Volume
- 51
- Issue
- 1
- Pages
- 140-143
- ISSN
- 0301-0449 (ISSN-L)
- 1432-1998
- PMC
- PMC7547295
- OpenAlex
- W3091839172
- Cited by
- 19
- References
- 7
- Citations by year
- 2024: 2 · 2023: 3 · 2022: 3 · 2021: 11
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pediatric Radiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (T32AI007044)
- Topics
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Dermatology › Dermatological and COVID-19 studies
- Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
- Keywords
- COVID-19 pandemic, mesenteric lymphadenopathy, abdominal imaging findings, atypical presentation, adolescents, intensive care, sputum PCR, delayed diagnosis, extrapulmonary manifestations
- MeSH terms
- Lymphadenopathy, COVID-19, COVID-19 Testing, Adenosine Monophosphate, Adolescent, Alanine, Antiviral Agents, Diagnosis, Differential, Humans, Male, Peritoneal Diseases, Positive-Pressure Respiration, Tomography, X-Ray Computed, Abdominal Pain, Polymerase Chain Reaction, Treatment Outcome
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