Gastrointestinal involvement in paediatric COVID-19 - from pathogenesis to clinical management: A comprehensive review
| Autor: | Stefania Benetti, Mariella Pace, Maria Maddalena Lupica, Carmelina Calitri, Maria Giovanna Ignaccolo, Ilaria Fumi, Franco Garofalo, Elena Banino, Francesca Fantone |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Diarrhea Pediatrics medicine.medical_specialty Abdominal pain Gastrointestinal Gastrointestinal Diseases Hydration Disease Inflammatory bowel disease Pathogenesis 03 medical and health sciences 0302 clinical medicine medicine Humans Child Pandemics Gastrointestinal tract business.industry SARS-CoV-2 Gastroenterology COVID-19 Minireviews General Medicine medicine.disease Systemic Inflammatory Response Syndrome Systemic inflammatory response syndrome Gastrointestinal Tract Paediatric 030220 oncology & carcinogenesis Vomiting 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | World Journal of Gastroenterology |
| ISSN: | 2219-2840 |
| Popis: | Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of coronavirus disease 2019 (COVID-19), is responsible for the first pandemic of the 21st century. As found in adults, signs and symptoms related to the disease mainly involve the respiratory tract in the paediatric population. However, a considerable number of children present with gastrointestinal symptoms such as vomiting, abdominal pain, and diarrhea. The purpose of this review is an accurate description, from pathogenesis to clinical presentation, diagnosis and treatment, of COVID-19 effects on the gastrointestinal system at a paediatric age. SARS-CoV-2 can be identified in stool specimens of affected children by real-time polymerase chain reaction techniques. Positivity can last for several weeks after the end of the symptomatic phase. Gastrointestinal signs and symptoms are generally self-limited, can correlate with blood tests and imaging alterations, and may require supportive treatment such as hydration. However, they can precede severe disease manifestations such as the COVID-19-related multisystem inflammatory syndrome. Children belonging to risk categories such as those affected by celiac disease, inflammatory bowel disease, and hepatic disease seem to not have a more severe course than the others, even if they are undergoing immunosuppressant treatment. Medical follow-ups of patients with chronic diseases need to be revised during the pandemic period in order to postpone unnecessary tests, mainly endoscopic ones. |
| Databáze: | OpenAIRE |
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