Acute Appendicitis in COVID-19-Positive Children: Report of 4 Cases from an Endemic Area in Northeastern Romania
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
References
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CASE | 1 | 2 | 3 | 4 |
Age | 8 | 13 | 15 | 8 |
Sex | F | M | F | F |
SARS-CoV-2 | + | + | + | + |
Diagnostics | acute phlegmonous appendicitis | acute phlegmonous appendicitis | acute phlegmonous appendicitis | acute phlegmonous appendicitis |
Signs and symptoms | ||||
Duration of symptoms prior to surgery, days | 1 | 4 | 1 | 2 |
Fever | - | + | - | - |
Respiratory symptoms | - | - | - | - |
Abdominal pain | + | + | + | + |
Vomiting | - | - | + | + |
Diarrhea | - | + | - | - |
Nausea | + | + | ||
Conjunctival injection | - | - | - | - |
Shock | - | - | - | - |
Laboratory findings | ||||
CRP, mg/dl | 2.29 | 7.73 | 9.2 | - |
Total WBC, ×103/µL | 10.21 | 17.06 | 13.18 | 15.80 |
Lymphocytes, ×103/µL | 1.08; 10.67% of total WBC | 2.41; 14.1% of total WBC | 0.55; 4% of total WBC | 1.39; 8.8% of total WBC |
Monocytes, ×103/µL | 1.76; 17.2% of total WBC | 1.71; 10% of total WBC | 0.33; 2.4% of total WBC | 0.47; 3% of total WBC |
Neutrophils, ×103/µL | 6.97; 67.9% of total WBC | 12.54; 73.5% of total WBC | 12.11; 92.7% of total WBC | 13.73; 86.9% of total WBC |
Creatinine, mg/dl | 0.45 | 0.75 | 0.6 | 0.45 |
ALAT, U/L | 12 | 31 | 12 | 18 |
AST, U/L | 25 | 35 | 20 | 25 |
Glucose, mg/dl | 96 | 92 | 97 | 96 |
Management | ||||
Intensive care, hours | - | 24 | - | - |
Analgesics | + | + | + | + |
Antibiotics | + | + | + | + |
Respiratory support | - | - | - | - |
Duration of hospitalization, days | 3 | 3 | 14 | 3 |
Recommendations | proper isolation precautions and 14 days of isolation with SARS-CoV-2 test at the end of the isolation interval | regular isolation instructions according to the COVID-19 protocol | no Isolation after discharge | regular isolation instructions according to the COVID-19 protocol |
Imaging | ||||
Abdominal US | no significant changes, but the clinical picture highly significant for AA | dilated, 18 mm, appendix lumen; no free peritoneal fluid or lymphadenopathy | dilated, 9 mm, appendicular lumen; infiltrated peri appendiceal fat with minimal free peritoneal fluid; no lymphadenopathy | dilated, 10 mm, uncompressible appendicular lumen; infiltrated periappendiceal fat; no peritoneal free fluid or lymphadenopathy |
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Filip, F.; Terteliu Baitan, M.; Avramia, R.; Filip, R. Acute Appendicitis in COVID-19-Positive Children: Report of 4 Cases from an Endemic Area in Northeastern Romania. Int. J. Environ. Res. Public Health 2023, 20, 706. https://doi.org/10.3390/ijerph20010706
Filip F, Terteliu Baitan M, Avramia R, Filip R. Acute Appendicitis in COVID-19-Positive Children: Report of 4 Cases from an Endemic Area in Northeastern Romania. International Journal of Environmental Research and Public Health. 2023; 20(1):706. https://doi.org/10.3390/ijerph20010706
Chicago/Turabian StyleFilip, Florin, Monica Terteliu Baitan, Ramona Avramia, and Roxana Filip. 2023. "Acute Appendicitis in COVID-19-Positive Children: Report of 4 Cases from an Endemic Area in Northeastern Romania" International Journal of Environmental Research and Public Health 20, no. 1: 706. https://doi.org/10.3390/ijerph20010706