A PEER-REVIEWED JOURNAL OF RESEARCH AND CLINICAL MEDICINEISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
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Bowel Damage as a COVID-19 Manifestation in a 4-Year-Old Child

DOI:10.31550/1727-2378-2021-20-3-56-59
For citation: Osmanov I.M., Solodovnikova O.N., Borzakova S.N., Sbrodova T.V., Iliasova P.N., Novoselova S.N. Bowel Damage as a COVID-19 Manifestation in a 4-Year-Old Child. Doctor.Ru. 2021; 20(3): 56–59. (in Russian). DOI: 10.31550/1727-2378-2021-20-3-56-59
19 April 00:00
S.N. Borzakova I.M. Osmanov O.N. Solodovnikova T.V. Sbrodova P.N. Iliasova S.N. Novoselova

Objective of the Paper: To represent a case of the novel coronavirus infection COVID-19 in a 4-year-old child with isolated bowel damage.

Key Points. COVID-19 impacts several systems and organs. Usually, children have mild or asymptomatic disease. Clinical manifestations of COVID-19 in children can be damage not only of respiratory tract, but also of GIT, requiring differential diagnosis of enteric infections (both viral and bacterial). Prompt diagnosis of COVID-19 is essential for antiepidemic measures and suppression an infectious process. The case shows challenges faced by clinicians when diagnosing COVID-19 in patients with isolated GIT damages without catarrhal signs. Course of the disease in this patient was characterised by a number of features indicative of a bacterial enteric infection: abdominal pain, diarrhoea, increased CRP, colitis syndrome in stool test, warranting differential diagnosis of acute enteric bacterial infections. Negative bacterial culture, detection of SARS-CoV2 RNA in oropharynx and nasopharynx mucous, fast stool normalisation and dyspeptic events arrest allowed diagnosing that the diarrhoea was associated with COVID-19. One month of metabolic and probiotic therapy normalised stool, arrested abdominal pain, and improved exercise tolerance.

Conclusion. GIT damage in paediatric COVID-19 patients is essential and unexplored. COVID-19 should be added to differential diagnosis in case of clinical manifestations of an acute enteric infection.

Contributions: Solodovnikova, O.N. — idea, objective, problem of the article; literature review; article preparation; Borzakova, S.N. — article preparation and editing; Osmanov, I.M. and Novoselova, S.N. — article editing, approval of the manuscript for publication; Iliasova, P.N. — article discussion and editing; Sbrodova, T.V. — data collection and processing, literature review.

Conflict of interest: The authors declare that they do not have any conflict of interests.

I.M. Osmanov — N.I. Pirogov Russian National Research Medical University (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of Health; 1 Ostrovityanov St., Moscow, Russian Federation 117997. Z.A. Bashlyaeva Municipal Clinical Children’s Hospital at Moscow Healthcare Department; 28 Geroev Panfilovtsev Str., Moscow, Russian Federation 125373. https://orcid.org/0000-0003-3181-9601. E-mail: osmanovim@zdrav.mos.ru

O.N. Solodovnikova — N.I. Pirogov Russian National Research Medical University (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of Health; 1 Ostrovityanov St., Moscow, Russian Federation 117997. Z.A. Bashlyaeva Municipal Clinical Children’s Hospital at Moscow Healthcare Department; 28 Geroev Panfilovtsev Str., Moscow, Russian Federation 125373. eLIBRARY.RU SPIN: 9220-4876. https://orcid.org/0000-0002-2792-4903. E-mail: docsolodovnikova@yandex.ru

S.N. Borzakova (Corresponding author) — N.I. Pirogov Russian National Research Medical University (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of Health; 1 Ostrovityanov St., Moscow, Russian Federation 117997. Z.A. Bashlyaeva Municipal Clinical Children’s Hospital at Moscow Healthcare Department; 28 Geroev Panfilovtsev Str., Moscow, Russian Federation 125373. https://orcid.org/0000-0001-5544-204X. E-mail: abbsnb@mail.ru

T.V. Sbrodova — N.I. Pirogov Russian National Research Medical University (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of Health; 1 Ostrovityanov St., Moscow, Russian Federation 117997. https://orcid.org/0000-0003-3956-7955. E-mail: tsbrodova1512@gmail.com

P.N. Iliasova — Children’s Hospital No. 1 “Krasnogorsk City Hospital No. 2”; 15A Lenin Str., Moscow region, Krasnogorsk, Russian Federation 143000. E-mail: ilyasova_doc@mail.ru

S.N. Novoselova — Children’s Hospital No. 1 “Krasnogorsk City Hospital No. 2”; 15A Lenin Str., Moscow region, Krasnogorsk, Russian Federation 143000. E-mail: nslana@mail.ru

Доктор.ру

Table 1

Blood count of S. dd 26/07/2020

t10_1.jpg

Table 2

Biochemical analysis of S. dd 26/07/2020

t10_2.jpg

Table 3

Stool test of S. dd 26/07/2020

t10_3.jpg
Received: 17.02.2021

Accepted: 03.03.2021


19 April 00:00
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