Published in:
01-01-2021 | Coronavirus | Case Report
Severe COVID-19 initially presenting as mesenteric adenopathy
Authors:
Sakura Noda, Jimmy Ma, Erin K. Romberg, Rafael E. Hernandez, Mark R. Ferguson
Published in:
Pediatric Radiology
|
Issue 1/2021
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Abstract
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.