A child with household transmitted COVID-19

Abstract

Background: Although people of all ages are susceptible to the novel coronavirus infection, which is presently named "Coronavirus Disease 2019" (COVID-19), there has been relatively few cases reported among children. Therefore, it is necessary to understand the clinical characteristics of COVID-19 in children and the differences from adults. Case presentation: We report one pediatric case of COVID-19. A 14-month-old boy was admitted to the hospital with a symptom of fever, and was diagnosed with a mild form of COVID-19. The child's mother and grandmother also tested positive for SARS-CoV-2 RNA. However, the lymphocyte counts were normal. The chest computed tomography (CT) revealed scattered ground glass opacities in the right lower lobe close to the pleura and resorption after the treatment. The patient continued to test positive for SARS-CoV-2 RNA in the nasopharyngeal swabs and stool at 17 days after the disappearance of symptoms. Conclusion: The present pediatric case of COVID-19 was acquired through household transmission, and the symptoms were mild. Lymphocyte counts did not significantly decrease. The RNA of SARS-CoV-2 in stool and nasopharyngeal swabs remained positive for an extended period of time after the disappearance of symptoms. This suggests that attention should be given to the potential contagiousness of pediatric COVID-19 cases after clinical recovery.

COVID-19 in an Intrauterine Growth Restriction (IUGR) Infant with Congenital Heart Disease: Case Report and Literature Review

“…In this case, the patient's symptoms and signs improved on the third day of admission; however, the rRT PCR test remained positive for 28 days and that was similar to a case report of a 14-month-old infant in China [10]. Since the infectivity of the patient was uncertain, the patient was kept in the hospital until she had a negative rRT PCR result.…”

Post nCoV-2 limping Child: Report of two cases and a rapid Review

“…So far, studies have shown that children appear to represent 2.4% of reported cases of COVID-19. The overall severity of COVID-19 in children was reported to be signi cantly milder than in adults (11). As COVID-19 continues to spread, there is growing evidence that children may be vulnerable to another rare or even a serious complication of disease.…”

Discharging coronavirus disease 2019 (COVID-19) patients with faecal viral shedding and prolonged hospitalisation

“…[9] Although in our locality, 4 children suffered from such a predicament, cumulatively from our literature review, the number of children who have prolonged faecal excretion and potential spread of infection of SARS-CoV-2 by this route is approximately 150-200 in total. [7,8,[10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Therefore, this issue is a huge concern affecting many patients and deserves further deliberation.…”