Prevalence of COVID-19 in Children with Gastrointestinal Manifestations: A Cross-sectional Study of 184 Cases in 2020 - 2021

AuthorMaryam Ataollahien
AuthorSeyedeh Sedigheh Hamzavien
AuthorSeyed Mohsen Dehghanien
AuthorMahmood Haghighaten
AuthorMohammad Hadi Imaniehen
AuthorNaser Honaren
AuthorKeramat Allah Jahanshahien
AuthorBehnaz Darbanen
AuthorHoda Haghshenasen
AuthorMohammad Aref Bagherzadehen
AuthorAbbas Avazpouren
AuthorFereshteh Karbasianen
AuthorFatima Mohamad Ghandouren
OrcidMaryam Ataollahi [0000-0003-1876-5266]en
OrcidSeyedeh Sedigheh Hamzavi [0000-0002-7081-0127]en
OrcidSeyed Mohsen Dehghani [0000-0001-5930-0110]en
OrcidMahmood Haghighat [0000-0002-0435-7643]en
OrcidMohammad Hadi Imanieh [0000-0003-4610-0413]en
OrcidNaser Honar [0000-0002-7993-2681]en
OrcidBehnaz Darban [0000-0003-0309-4359]en
OrcidHoda Haghshenas [0000-0002-3684-3988]en
OrcidMohammad Aref Bagherzadeh [0000-0002-7109-4476]en
OrcidFereshteh Karbasian [0000-0003-2494-6231]en
Issued Date2022-10-31en
AbstractBackground: The coronavirus disease 2019 (COVID-19) pandemic has affected human life for more than a year. COVID-19 is well known for its respiratory manifestations; however, other important symptoms help with its diagnosis. Although clinical presentations in adults have been understood, clinical data in pediatric COVID-19 cases are still lacking. Objectives: We investigated gastrointestinal (GI) manifestations of COVID-19 in pediatric cases. Methods: This study included 184 cases with GI manifestations referred to the pediatric emergency department of Namazi hospital from 20 March to 20 November 2020. Their clinical and laboratory data were extracted and analyzed with SPSS22. Results: Of 184 patients, 51 had positive SARS-CoV-2 PCR results. The most common symptom in SARS-CoV-2-positive patients was vomiting in 22 (43%) patients, followed by watery diarrhea in 12 (23.5%) and dysentery in 11 (21%). Significantly elevated CRP (P value = 0.002), ESR (P value < 0.001), and lymphocyte count (P value = 0.037) were found in PCR-positive patients. Conclusions: Our result demonstrates that COVID-19 could present with different GI symptoms. Also, the symptoms and lab data could help clinicians diagnose COVID-19, besides other differential diagnoses in pediatric patients with GI symptoms.en
DOIhttps://doi.org/10.5812/pedinfect-121640en
KeywordSARS-CoV-2en
KeywordCOVID-19en
KeywordPediatricsen
KeywordGastrointestinal Manifestationen
PublisherBrieflandsen
TitlePrevalence of COVID-19 in Children with Gastrointestinal Manifestations: A Cross-sectional Study of 184 Cases in 2020 - 2021en
TypeResearch Articleen

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