{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:36:12Z","timestamp":1760189772860,"version":"3.37.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T00:00:00Z","timestamp":1612742400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T00:00:00Z","timestamp":1612742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>The coronavirus disease 2019 (COVID-19) pandemic has caused irreparable damage to society, and the damage continues. Pediatricians are confronted  with COVID-19 in a variety of presentations, which may lead to delayed diagnosis and treatment. Early diagnosis of the disease plays an important role in preventing transmission of the virus in the community.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>Here we report a 27-month-old previously healthy Iranian female child who presented with fever and bloody diarrhea, diagnosed with COVID-19 based on contact history, exclusion of enteric bacterial pathogens and parasites, and positive stool and nasopharyngeal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse transcriptase polymerase chain reaction (RT-PCR) tests. The patient had viral shedding for more than a month.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The pediatric population usually does not present with typical clinical features of COVID-19, which are respiratory involvement. Dysentery may be the only presentation of this disease, and long-term isolation should be considered, as the viral shedding may last for more than a month.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-02672-1","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T23:08:22Z","timestamp":1612825702000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Dysentery as the only presentation of COVID-19 in a child: a\u00a0case report"],"prefix":"10.1186","volume":"15","author":[{"given":"Marjan","family":"Tariverdi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4631-0955","authenticated-orcid":false,"given":"Nazanin","family":"Farahbakhsh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamed","family":"Gouklani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatemeh","family":"Khosravifar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Tamaddondar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,2,8]]},"reference":[{"key":"2672_CR1","doi-asserted-by":"publisher","first-page":"258","DOI":"10.3389\/fped.2020.00258","volume":"8","author":"X Cai","year":"2020","unstructured":"Cai X, Ma Y, Li S, Chen Y, Rong Z, Li W. Clinical characteristics of 5 COVID-19 cases with non-respiratory symptoms as the first manifestation in children. Front Pediatrics. 2020;8:258.","journal-title":"Front Pediatrics."},{"issue":"9","key":"2672_CR2","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1111\/apt.15731","volume":"51","author":"Y Tian","year":"2020","unstructured":"Tian Y, Rong L, Nian W, He Y. Review article: gastrointestinal features in COVID-19 and the possibility of faecal transmission. Aliment Pharmacol Ther. 2020;51(9):843\u201351.","journal-title":"Aliment Pharmacol Ther"},{"key":"2672_CR3","doi-asserted-by":"publisher","first-page":"1834","DOI":"10.1002\/jmv.26066","volume":"92","author":"N Cimolai","year":"2020","unstructured":"Cimolai N. Features of enteric disease from human coronaviruses: Implications for COVID-19. J Med Virol. 2020;92:1834\u201344.","journal-title":"J Med Virol."},{"issue":"7","key":"2672_CR4","doi-asserted-by":"publisher","first-page":"e19","DOI":"10.1016\/S2352-4642(20)30165-6","volume":"4","author":"L Tullie","year":"2020","unstructured":"Tullie L, Ford K, Bisharat M, Watson T, Thakkar H, Mullassery D, et al. Gastrointestinal features in children with COVID-19: an observation of varied presentation in eight children. Lancet Child Adolesc Health. 2020;4(7):e19\u201320.","journal-title":"Lancet Child Adolesc Health."},{"issue":"2","key":"2672_CR5","doi-asserted-by":"publisher","first-page":"e102400","DOI":"10.5812\/pedinfect.102400","volume":"8","author":"A Karimi","year":"2020","unstructured":"Karimi A, Rafiei Tabatabaei S, Rajabnejad M, Pourmoghaddas Z, Rahimi H, Armin S, et al. An Algorithmic approach to diagnosis and treatment of coronavirus disease 2019 (COVID-19) in Children: Iranian Expert\u2019s Consensus Statement. Arch Pediatr Infect Dis. 2020;8(2):e102400.","journal-title":"Arch Pediatr Infect Dis."},{"issue":"5","key":"2672_CR6","doi-asserted-by":"publisher","first-page":"744","DOI":"10.1111\/jgh.15047","volume":"35","author":"SH Wong","year":"2020","unstructured":"Wong SH, Lui RN, Sung JJ. Covid-19 and the digestive system. J Gastroenterol Hepatol. 2020;35(5):744\u20138.","journal-title":"J Gastroenterol Hepatol"},{"issue":"6","key":"2672_CR7","doi-asserted-by":"publisher","first-page":"1831","DOI":"10.1053\/j.gastro.2020.02.055","volume":"158","author":"F Xiao","year":"2020","unstructured":"Xiao F, Tang M, Zheng X, Liu Y, Li X, Shan H. Evidence for gastrointestinal infection of SARS-CoV-2. Gastroenterology. 2020;158(6):1831\u20133.","journal-title":"Gastroenterology"},{"issue":"6","key":"2672_CR8","doi-asserted-by":"publisher","first-page":"1518","DOI":"10.1053\/j.gastro.2020.02.054","volume":"158","author":"J Gu","year":"2020","unstructured":"Gu J, Han B, Wang J. COVID-19: gastrointestinal manifestations and potential fecal\u2013oral transmission. Gastroenterology. 2020;158(6):1518\u20139.","journal-title":"Gastroenterology"},{"key":"2672_CR9","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2020.139","author":"N Rezaei","year":"2020","unstructured":"Rezaei N. COVID-19 affects healthy pediatricians more than pediatric patients. Infect Control Hosp Epidemiol. 2020. https:\/\/doi.org\/10.1017\/ice.2020.139.","journal-title":"Infect Control Hosp Epidemiol."},{"issue":"14","key":"2672_CR10","doi-asserted-by":"publisher","first-page":"1370","DOI":"10.1056\/NEJMc2003717","volume":"382","author":"W Liu","year":"2020","unstructured":"Liu W, Zhang Q, Chen J, Xiang R, Song H, Shu S, et al. Detection of Covid-19 in children in early January 2020 in Wuhan, China. N Engl J Med. 2020;382(14):1370\u20131.","journal-title":"N Engl J Med."}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02672-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13256-021-02672-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02672-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T23:08:38Z","timestamp":1612825718000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-02672-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,8]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2672"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-02672-1","relation":{},"ISSN":["1752-1947"],"issn-type":[{"type":"electronic","value":"1752-1947"}],"subject":[],"published":{"date-parts":[[2021,2,8]]},"assertion":[{"value":"8 November 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 January 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The study received ethics approval from the Ethical Committee of Hormozgan University of Medical Sciences under the ethics code HUMS.REC.1399.303, and it complies with the statements of the Declaration of Helsinki.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient\u2019s legal guardian(s) for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"65"}}