Infant with reverse-transcription polymerase chain reaction confirmed COVID-19 and normal chest computed tomography:A case report  

作　　者：Guang-Hai Ji Bo Li Zu-Chuang Wu Wei Wang Hao Xiong 

机构地区：[1]Department of Radiology,The First Affiliated Hospital of Yangtze University,The First People’s Hospital of Jingzhou,Jingzhou 434000,Hubei Province,China [2]Department of Pediatric,The First Affiliated Hospital of Yangtze University,Jingzhou 434000,Hubei Province,China [3]Department of Clinical Laboratory,The First Affiliated Hospital of Yangtze University,Jingzhou 434000,Hubei Province,China

出　　处：《World Journal of Clinical Cases》2022年第27期9845-9850,共6页世界临床病例杂志

摘　　要：BACKGROUND Coronavirus disease-2019(COVID-19)is a highly pathogenic respiratory disease that mainly affects adults and elderly patients.Yet,over the past three years,there were an increasing number of infected children;however,only a few cases of infants with reverse-transcription polymerase chain reaction(RT-PCR)-confirmed COVID-19 and chest computed tomography(CT)normal have been reported.Herein,we reported a single case of a patient(a 3-mo-old girl)with COVID-19,including her clinical and imaging findings.CASE SUMMARY The patient with fever,diarrhea came to fever clinic.Her chest CT was normal.The patient was treated accordingly,the fever disappeared while diarrhea persisted,what’s more,RT-PCR testing of nasopharyngeal swab showed positive results;thus,the patient was admitted to the pediatric department on the 5 th day of onset.The child was given systematic treatment,and all her symptoms significantly improved.Consecutive RT-PCR tests were negative after examining the pharyngeal swabs but positive after analyzing anal swabs.She was discharged on the 31 st day of hospitalization.CONCLUSION This report provides useful references for treating infantile COVID-19 cases with diarrhea or other non-respiratory symptoms and normal chest CT scan.Given the persistent positive RT-PCR results of anal swabs,the possibility of fecal-oral transmission of COVID-19 should be considered.

关 键 词：INFANT COVID-19 SARS-CoV-2 TOMOGRAPHY Case report 

分 类 号：R725.6[医药卫生—儿科]