Volume 6, Issue 3, September 2020, Page: 300-302
Case Report: One Case of Coronavirus Disease 2019 (COVID-19) in Child with Thrombocytopenia and Skin Lesion
Masoumeh Abedini, Department of Infectious Diseases, Kurdistan University of Medical Sciences, Sanandaj, Iran
Borhan Moradveisi, Cancer and Immunology Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
Mohammad Ghaderi, Department of Pediatrics, Kurdistan University of Medical Sciences, Sanandaj, Iran
Avat Karimi, Department of Pediatrics, Kurdistan University of Medical Sciences, Sanandaj, Iran
Farima Zakaryaei, Emergency Department, Kurdistan University of Medical Sciences, Sanandaj, Iran
Received: Jun. 5, 2020;       Accepted: Jun. 29, 2020;       Published: Aug. 4, 2020
DOI: 10.11648/j.ajp.20200603.31      View  84      Downloads  41
Abstract
COVID-19 disease characterized by a wide range of clinical manifestations of respiratory and gastrointestinal symptoms, like diarrhea and vomiting, in children and adults; also, some laboratory findings like thrombocytopenia and lymphopenia are reported in some cases, but Skin lesions are uncommon symptoms. In this study, we report a 7-year-old girl admitted to an emergency department of Besat hospital in Sanandaj, Iran, with erythematous maculopapular skin lesions manifestation. Our patients had other symptoms including fever, gastrointestinal symptoms (vomiting, loss of appetite, and diarrhea) severe systemic symptoms include respiratory distress and cardiomyopathy, and also she had abnormal laboratory findings like thrombocytopenia, leukocytosis, and lymphopenia. First of some differential diagnosis like gastrointestinal infection and Kawasaki disease was consider and but after rule outing these disease, COVID-19 infection was diagnosed for the patient by PCR testing of the nasopharyngeal sample. She treated with chloroquine and Kaletra for five days and Meropenem and Clindamycin. So we introduce thrombocytopenia and skin lesion as the clinical manifestation of COVID-19 disease in children. Also, according to this study, we recommend doing diagnostic tests to rule out COVID-19 disease in children with skin manifestation or thrombocytopenia. Also, it is necessary to understand the clinical features of COVID-19 in children.
Keywords
COVID-19 Disease, Thrombocytopenia, Skin Lesion
To cite this article
Masoumeh Abedini, Borhan Moradveisi, Mohammad Ghaderi, Avat Karimi, Farima Zakaryaei, Case Report: One Case of Coronavirus Disease 2019 (COVID-19) in Child with Thrombocytopenia and Skin Lesion, American Journal of Pediatrics. Vol. 6, No. 3, 2020, pp. 300-302. doi: 10.11648/j.ajp.20200603.31
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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