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Unusual association of diseases/symptoms
Case report
4-month-old boy coinfected with COVID-19 and adenovirus
  1. Kelsey Danley1 and
  2. Paul Kent2
  1. 1 Internal Medicine, Rush University Medical Center, Chicago, Illinois, United States
  2. 2 Pediatrics, Rush University Medical Center, Chicago, Illinois, United States
  1. Correspondence to Dr Kelsey Danley; kelsey_t_danley{at}rush.edu

Abstract

A 4-month-old boy with a history of muscular ventricular septal defect and atopic dermatitis presented with decreased oral intake, loose stools, stuffy nose, mild cough and diaphoresis. The patient had an in-home exposure to COVID-19. The initial respiratory pathogen panel was positive for adenovirus, consistent with his symptoms. The following day, the COVID-19 PCR was also positive. The patient was treated with supportive care, isolation precautions were implemented and the patient was discharged on day 4. This case demonstrates the importance of testing for COVID-19 even if a patient tests positive for another virus due to the possibility of coinfection, especially in children, in order to limit spread of COVID-19 to others.

  • infectious diseases
  • medical management
  • paediatrics

This article is made freely available for use in accordance with BMJ's website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2020-236264

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    Footnotes

    • Contributors KD completed and wrote the case report. PK provided information on case, edited the paper and contributed to the literature review.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.