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Поражение пищеварительного тракта как проявление COVID-19 у ребенка 4 лет
Bowel Damage as a COVID-19 Manifestation in a 4-Year-Old Child

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, O.N. Solodovnikova, S.N. Borzakova, T.V. Sbrodova, P.N. Iliasova, S.N. Novoselova, Moscow, Russian Federation, Z.A. Bashlyaeva Municipal Clinical Children's Hospital at Moscow Healthcare Department; Moscow, Russian Federation, N.I. Pirogov Russian National Research Medical University (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of Health; Moscow, Russian Federation, Z.A. Bashlyaeva Municipal Clinical Children's Hospital at Moscow Healthcare Department; Moscow, Russian Federation, N.I. Pirogov Russian National Research Medical University (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of Health; Moscow, Russian Federation (+4 others)
2021 Doctor Ru  

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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
more » ... 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. Keywords: children, novel coronavirus infection, COVID-19, GIT.
doi:10.31550/1727-2378-2021-20-3-56-59 fatcat:5fslb6uywfarlcpo3d5i65vlym
Citation

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, O.N. Solodovnikova, S.N. Borzakova, T.V. Sbrodova, P.N. Iliasova, S.N. Novoselova, Moscow, Russian Federation, Z.A. Bashlyaeva Municipal Clinical Children's Hospital at Moscow Healthcare Department; Moscow, Russian Federation, N.I. Pirogov Russian National Research Medical University (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of Health; Moscow, Russian Federation, Z.A. Bashlyaeva Municipal Clinical Children's Hospital at Moscow Healthcare Department; Moscow, Russian Federation, N.I. Pirogov Russian National Research Medical University (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of Health; Moscow, Russian Federation, Z.A. Bashlyaeva Municipal Clinical Children's Hospital at Moscow Healthcare Department; Moscow, Russian Federation, N.I. Pirogov Russian National Research Medical University (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of Health; Moscow, Russian Federation, Children's Hospital No. 1 «Krasnogorsk City Hospital No. 2»; Moscow region, Krasnogorsk, Russian Federation, Children's Hospital No. 1 «Krasnogorsk City Hospital No. 2»; Moscow region, Krasnogorsk, Russian Federation. "Поражение пищеварительного тракта как проявление COVID-19 у ребенка 4 лет." Doctor Ru 20.3 (2021) 56-59