Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2020; 8(11): 2345-2349
Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2345
Serial computed tomographic findings and specific clinical features of pediatric COVID-19 pneumonia: A case report
Xing Chen, Xiao-Jie Zou, Zhen Xu
Xing Chen, Xiao-Jie Zou, Zhen Xu, Department of Pediatrics, Huzhou Central Hospital, Affiliated Cent Hospital HuZhou University, Huzhou 313000, Zhejiang Province, China
Author contributions: Chen X collected the clinical data and drafted the manuscript; Chen X and Zou XJ consulted literature material; Xu Z revised the manuscript; all authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Zhen Xu, MD, PhD, Chief Physician, Department of Pediatrics, Huzhou Central Hospital, Affiliated Cent Hospital HuZhou University, No. 198 Hongqi Road, Wuxing District, Huzhou 313000, Zhejiang Province, China. xz4179@vip.sina.com
Received: April 6, 2020
Peer-review started: April 6, 2020
First decision: April 19, 2020
Revised: April 26, 2020
Accepted: May 15, 2020
Article in press: May 15, 2020
Published online: June 6, 2020
Processing time: 63 Days and 0 Hours
Abstract
BACKGROUND

A series of recent cases of pneumonia in Wuhan, Hubei Province, China, was caused by the 2019 novel coronavirus [2019-nCoV, also called severe acute respiratory syndrome (SARS)-CoV-2]. The World Health Organization officially named the disease as coronavirus disease 2019 (COVID-19). With the global spread of COVID-19, similar cases have appeared in other areas of China, and there are a few reports of pediatric patients with COVID-19 pneumonia.

CASE SUMMARY

A 7-year-old girl was diagnosed with COVID-19 and presented with irregular fever, sore throat and diarrhea. Chest computed tomography revealed patchy consolidation and ground-glass opacities in multiple areas. The lesions were mainly distributed in the bronchial bundles or subpleural areas of both lungs, particularly in the right lower lobe. The patient also presented with diarrhea, mild kidney injury, and live coronavirus was found in her feces. She was given antiviral agents (lopinavir and ritonavir), and follow-up detection showed that these abnormalities were markedly decreased within 3 d.

CONCLUSION

The clinical symptoms and prognosis of COVID-19 in pediatric patients may be different from those in adult patients, and the fecal–oral transmission of SARS-CoV-2 should be considered.

Keywords: COVID-19; SARS-CoV-2; Pediatric patient; Computed tomographic; Fecal-oral transmission; Case report

Core tip: We report a pediatric patient (7-year-old female child) with novel coronavirus pneumonia. Chest computed tomography revealed patchy consolidation and ground-glass opacities in multiple areas. The lesions were mainly distributed in the bronchial bundles or subpleural areas of both lungs, particularly in the right lower lobe. The patient also presented with diarrhea, mild kidney injury, and live coronavirus was found in her feces. She was given antiviral agents (lopinavir and ritonavir), and follow-up detection showed that these abnormalities were markedly decreased within 3 d.