{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T03:34:45Z","timestamp":1764732885325,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,8,13]]},"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>On 31 December 2019, the first case of COVID-19, was reported in Wuhan. A public health emergency of international concern was declared on 30 January 2020 and the first case in Scotland, on 2 March. The effect of COVID-19 appears to be less in the paediatric population and there are fewer cases reported in the literature in comparison to the adult population. Here, we report a case of a previously well 5-week-old infant who presented with fever and increased sleepiness. There was no known contact with any unwell individuals. COVID-19 was identified through a septic screen work up. The infant\u2019s course was uneventful and she has made a full recovery. This case highlights the need to have a low index of suspicion in the diagnosis of COVID-19 and the need to be vigilant in use of personal protective equipment, even in paediatric patients with subtle symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2020-236330","type":"journal-article","created":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T02:35:55Z","timestamp":1599100555000},"page":"e236330","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Case of COVID-19 in a 5-week-old baby"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2190-2965","authenticated-orcid":false,"given":"Rachael","family":"Fleming","sequence":"first","affiliation":[{"name":"Paediatrics, Forth Valley Royal Hospital, Larbert, UK"},{"name":"Paediatrics, Royal Hospital for Sick Children, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemary","family":"Grattan","sequence":"additional","affiliation":[{"name":"Paediatrics, Forth Valley Royal Hospital, Larbert, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristyna","family":"Bohmova","sequence":"additional","affiliation":[{"name":"Paediatrics, Forth Valley Royal Hospital, Larbert, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,9,2]]},"reference":[{"key":"2025082709545149000_13.9.e236330.1","unstructured":"World Health Organization . Statement on the second meeting of international health regulations (2005) emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). Available: https:\/\/www.who.int\/news-room\/detail\/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov) [Accessed 10 Apr 2020]."},{"key":"2025082709545149000_13.9.e236330.2","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/S2352-4642(20)30091-2","article-title":"The first infant case of COVID-19 acquired from a secondary transmission in Vietnam","volume":"4","author":"Le","year":"2020","journal-title":"Lancet Child Adolesc Health"},{"key":"2025082709545149000_13.9.e236330.3","doi-asserted-by":"crossref","first-page":"100433","DOI":"10.1016\/j.eclinm.2020.100433","article-title":"COVID-19 in 7780 pediatric patients: a systematic review","volume":"24","author":"Hoang","year":"2020","journal-title":"EClinicalMedicine"},{"key":"2025082709545149000_13.9.e236330.4","unstructured":"Centres for Disease Control and Prevention . Resources for emergency health professionals. health alert Netw, 2020. Available: https:\/\/emergency.cdc.gov\/han\/2020\/han00432.asp [Accessed 30 Jun 2020]."},{"key":"2025082709545149000_13.9.e236330.5","unstructured":"Royal College of Paediatrics and Child Health . Guidance: paediatric multisystem inflammatory syndrome temporally associated with COVID-19. Available: https:\/\/www.rcpch.ac.uk\/sites\/default\/files\/2020-05\/COVID-19-Paediatric-multisystem-%20inflammatory%20syndrome-20200501.pdf [Accessed 30 Jun 2020]."},{"key":"2025082709545149000_13.9.e236330.6","doi-asserted-by":"crossref","DOI":"10.1001\/jama.2020.4621","article-title":"Possible vertical transmission of SARS-CoV-2 from an infected mother to her newborn","author":"Dong","year":"2020","journal-title":"JAMA"},{"key":"2025082709545149000_13.9.e236330.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30360-3"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-236330","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:54:57Z","timestamp":1756313697000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-236330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":7,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2020,9,2]]},"published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1136\/bcr-2020-236330"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-236330","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}