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      A 55-Day-Old Female Infant Infected With 2019 Novel Coronavirus Disease: Presenting With Pneumonia, Liver Injury, and Heart Damage

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          Abstract

          Background

          Previous studies on the pneumonia outbreak caused by the 2019 novel coronavirus disease (COVID-19) were mainly based on information from adult populations. Limited data are available for children with COVID-19, especially for infected infants.

          Methods

          We report a 55-day-old case with COVID-19 confirmed in China and describe the identification, diagnosis, clinical course, and treatment of the patient, including the disease progression from day 7 to day 11 of illness.

          Results

          This case highlights that children with COVID-19 can also present with multiple organ damage and rapid disease changes.

          Conclusions

          When managing such infant patients with COVID-19, frequent and careful clinical monitoring is essential.

          Abstract

          Data about infants infected with novel coronavirus disease (COVID-19) are scarce. Herein, we report a 55-day-old case who presented with COVID-19 pneumonia. The exposure, symptoms, laboratory indicators, and hospitalization are described in detail.

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          Most cited references 6

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          Clinical presentations and outcome of severe acute respiratory syndrome in children

           KLE Hon,  CW Leung,  WTF Cheng (2003)
          Summary Hong Kong has been severely affected by severe acute respiratory syndrome (SARS). Contact in households and healthcare settings is thought to be important for transmission, putting children at particular risk. Most data so far, however, have been for adults. We prospectively followed up the first ten children with SARS managed during the early phase of the epidemic in Hong Kong. All the children had been in close contact with infected adults. Persistent fever, cough, progressive radiographic changes of chest and lymphopenia were noted in all patients. The children were treated with high-dose ribavirin, oral prednisolone, or intravenous methylprednisolone, with no short-term adverse effects. Four teenagers required oxygen therapy and two needed assisted ventilation. None of the younger children required oxygen supplementation. Compared with adults and teenagers, SARS seems to have a less aggressive clinical course in younger children.
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            Middle East respiratory syndrome coronavirus disease in children.

            In the initial description of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, many affected patients were adults with underlying medical comorbidities. Data on the clinical presentation and outcome of pediatric cases are lacking. We report the clinical presentation and outcome of MERS-CoV infection in 11 pediatric patients.
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              Clinical features of patients infected with

               C Huang,  Y WANG,  X Li (2020)
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                Author and article information

                Journal
                J Infect Dis
                J. Infect. Dis
                jid
                The Journal of Infectious Diseases
                Oxford University Press (US )
                0022-1899
                1537-6613
                17 March 2020
                17 March 2020
                Affiliations
                [1 ] Department of Pediatrics, Guizhou Provincial People’s Hospital , Guiyang, Guizhou, China
                [2 ] Department of Nephrology, Institute of Nephritic and Urinary Disease, Guizhou Provincial People’s Hospital , Guiyang, Guizhou, China
                [3 ] Department of Pulmonary Medicine, NHC Key Laboratory of Pulmonary Immunological Diseases, Guizhou Provincial People’s Hospital , Guiyang, China
                [4 ] Department of Radiology, Guizhou Provincial People’s Hospital , Guiyang, China
                Author notes
                Correspondence: Yan Zha, MD, #83 Zhongshan East Road, Guiyang, Nanming District 550002 (China) ( zhayansy@ 123456163.com ).

                Y. C. and M. T. contributed equally to this work and share first authorship.

                Article
                jiaa113
                10.1093/infdis/jiaa113
                7184483
                32179908
                © The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

                This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model ( https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

                This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

                Page count
                Pages: 8
                Product
                Funding
                Funded by: National Natural Science Foundation of Guizhou people’s Hospital;
                Award ID: [2018]5764-02
                Categories
                Brief Report
                AcademicSubjects/MED00860
                AcademicSubjects/MED00290
                Custom metadata
                PAP
                corrected-proof

                Infectious disease & Microbiology

                covid-19 pneumonia, liver injury, heart damage

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