Intussusception and COVID-19 in Infants: Evidence for an Etiopathologic Correlation

Author:

Scottoni Federico1,Giobbe Giovanni Giuseppe2,Zambaiti Elisa1,Khalaf Sahira2,Sebire Neil J3,Curry Joe4,De Coppi Paolo24,Gennari Fabrizio1

Affiliation:

1. aDepartment of Pediatric General Surgery, Regina Margherita Children's Hospital, Azienda Ospedaliero Universitaria Città della Salute e della Scienza, Turin, Italy

2. bStem Cell and Regenerative Medicine Section, GOSICH Zayed Centre for Research into Rare Disease in Children, University College London, London, United Kingdom

3. cDepartment of Histopathology, NIHR Great Ormond Street Hospital BRC, London, United Kingdom

4. dDepartment of Specialist Neonatal and Paediatric Surgery, NIHR Great Ormond Street Hospital BRC, London, United Kingdom

Abstract

Nonrespiratory conditions related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections have been largely described. Ileocolic intussusception has been reported in association with SARS-CoV-2 infection in 10 children, raising the possibility of an etiopathologic role for the virus, but none of these cases documented tissue pathology that would have supported SARS-CoV-2 intestinal inflammation. We report 2 cases of intussusception in patients with SARS-CoV-2 infection who were treated at different pediatric tertiary centers in Europe and provide evidence of the presence of the virus in mesenteric and intestinal tissues of the patients.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference12 articles.

1. COVID-19 and multisystem inflammatory syndrome in children and adolescents;Jiang;Lancet Infect Dis,2020

2. Extrapulmonary manifestations of COVID-19 in children: a comprehensive review and pathophysiological considerations;Pousa;J Pediatr (Rio J),2021

3. Adenovirus infection and childhood intussusception;Bhisitkul;Am J Dis Child,1992

4. Clinical features and role of viral isolates from stool samples of intussuception in children;Lee;Pediatr Gastroenterol Hepatol Nutr,2013

5. Intussusception in an infant as a manifestation of COVID-19;Moazzam;J Pediatr Surg Case Rep,2020

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