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Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding

We report epidemiological and clinical investigations on ten pediatric SARS-CoV-2 infection cases confirmed by realtime reverse transcription PCR assay of SARS-CoV-2 RNA. Symptoms in these cases were nonspecific and no children required respiratory support or intensive care. Chest X-rays lacked definite signs of pneumonia, a defining feature of the infection in adult cases. Notably, eight children persistently tested positive on rectal swabs even after nasopharyngeal testing was negative, raising the possibility of fecal–oral transmission.

Yi Xu et al, Department of Pediatric, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China


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