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Jallouli A, Fakiri KE, Nassih H, Qadiry REL, Bourrahouat A, Sab IA, Rada N, Draiss G, Bouskraoui M. Digestive manifestations of Covid-19 in children: a retrospective study. Afr Health Sci 2023; 23:181-185. [PMID: 38357158 PMCID: PMC10862631 DOI: 10.4314/ahs.v23i3.22] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2024] Open
Abstract
Background The world is currently facing a pandemic due to a new species of the Coronaviridae family called SARS-CoV-2, discovered in the city of Wuhan in China in December 2019. The WHO has named the resulting disease COVID-19 (Coronavirus Disease 2019). It has been a global health problem due to its major socio-economic damage. The aim of this study was to show the prevalence of gastrointestinal and hepatic manifestations in symptomatic children with COVID-19. Methods We performed a retrospective study, including 36 symptomatic children infected by SARS-CoV-2 hospitalized at the mother and child hospital of university hospital of Mohammed VI, Marrakech in Morocco, over a period of 7 months. Clinical and biological manifestations of the digestive system were evaluated for all patients. Results The digestive symptomatology came in second place after the respiratory manifestations. 14 patients (38.89 % of symptomatic patients) in our study had digestive symptoms on admission: 12 (33.33%) presented with diarrhea, 4 (11.11%) had abdominal pain and only one child (2.78%) had vomiting. Aspartate aminotransferase (AST) was elevated in one patient, while alanine transaminase (ALT) was elevated in 6 patients. The prothrombin level was normal in all patients. All patients were discharged with good general condition without morbidity and mortality. Conclusion This study concludes with the high prevalence of digestive manifestations of COVID-19 in symptomatic children. There were no severe clinical or biological abnormalities in our study. Digestive manifestations during COVID-19 in children are frequent, which requires the awareness of health professionals.
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Affiliation(s)
- Abderrahmane Jallouli
- Department of Pediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
- Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Karima El Fakiri
- Department of Pediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
- Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Houda Nassih
- Department of Pediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
- Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Rabiy EL Qadiry
- Department of Pediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
- Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Aicha Bourrahouat
- Department of Pediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
- Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Imane Ait Sab
- Department of Pediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
- Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Noureddine Rada
- Department of Pediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
- Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Ghizlane Draiss
- Department of Pediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
- Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Mohammed Bouskraoui
- Department of Pediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
- Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
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Bourkhissi L, Fakiri KEL, Nassih H, Qadiry REL, Bourrahouat A, Ait Sab I, Rada N, Draiss G, Bouskraoui M. Laboratory abnormalities in children with novel Coronavirus Disease 2019. Clin Med Insights Pediatr 2020; 14:1179556520955177. [PMID: 32958991 PMCID: PMC7488170 DOI: 10.1177/1179556520955177] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 08/10/2020] [Indexed: 12/15/2022] Open
Abstract
The novel Coronavirus disease 2019 continues to be a worldwide pandemic. Yet, little is still known about the biological features of this emergent infection in children. In this prospective study, we collected 68 children infected with SARS-COV-2 from March 2020 to May 2020, in Marrakesh, Morocco. No severe cases were observed in this cohort, and 66% of the patients were asymptomatic. The main laboratory abnormalities were hematological, as we found Leucopoenia in 4.4% of the cases, hyperleukocytosis in 1.6%. Neutropenia was found in 5 patients (7%) and only 2 cases (3%) had Lymphopenia. The inflammation and coagulation biomarkers were normal in the majority of the cases, as for liver and kidney function. Lactate dehydrogenase (LDH) serum levels were elevated in 8 cases (11.67%). The COVID-19 in children seems to have mild course and better outcome than in adults, which impacts the laboratory findings in this category. More studies must be conducted to learn more about the laboratory abnormalities in pediatric COVID-19.
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Affiliation(s)
- Laila Bourkhissi
- Department of Paediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
| | - Karima EL Fakiri
- Department of Paediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
| | - Houda Nassih
- Department of Paediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
| | - Rabiy EL Qadiry
- Department of Paediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
| | - Aicha Bourrahouat
- Department of Paediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
| | - Imane Ait Sab
- Department of Paediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
| | - Noureddine Rada
- Department of Paediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
| | - Ghizlane Draiss
- Department of Paediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
| | - Mohammed Bouskraoui
- Department of Paediatrics, University hospital of Mohammed VI, Marrakesh, Morocco
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