Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-associated coronavirus disease 2019 (COVID-19) most commonly causes a mild respiratory illness; however, there are wide ranges of presenting symptoms and disease severity. It has a mortality rate around 7%. Case presentation We present a case of a 9-year-old female patient with hypoplastic left heart syndrome status post heart transplantation at age of 7 days. She presented to our emergency room complaining of intermittent fever, chills, fatigue, poor appetite, and diarrhea. A throat swab nucleic acid test was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Intravenous fluids therapy was used for correction of hydration status. To the best of our knowledge this is the first reported case of non-pulmonary presentation of coronavirus disease-2019 (COVID-19) in a pediatric heart transplant recipient, which was successfully managed conservatively. Conclusions Gastrointestinal manifestations can be the only presenting symptom in pediatric heart transplant recipients with COVID-19. Conservative treatment could be used successfully. Immunomodulatory medications that are used in heart transplant recipients may have protective value in SARS-CoV-2 infection.
【저자키워드】 SARS-CoV-2, Gastrointestinal Presentation, Pediatric heart transplant recipient, 【초록키워드】 COVID-19, coronavirus disease, coronavirus, therapy, fatigue, knowledge, SARS-COV-2 infection, pediatric, disease severity, Symptom, diarrhea, nucleic acid test, Fever, female, Patient, Gastrointestinal, age, mortality rate, medication, Protective, hydration status, manifestation, presenting symptom, acute respiratory syndrome, intravenous fluid, conservative treatment, syndrome, chills, positive, throat swab, recipient, Non-pulmonary, was used, reported, cause, presenting, mild respiratory, with COVID-19, 【제목키워드】 COVID-19, pediatric, Gastrointestinal,