id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-356217-igm2t7md	Noda, Sakura	Severe COVID-19 initially presenting as mesenteric adenopathy	2020-10-10		.txt	text/plain	1597	87	40	We report a case of COVID-19 in a healthy teenager who initially presented with isolated mesenteric adenopathy, typically a self-limited illness, which progressed to severe illness requiring intensive care before complete recovery. A generally healthy, immunized, non-obese White 17-yearold boy presented to an outside emergency department (ED) with 3 days of initially moderate progressing to severe abdominal pain focused in the right lower quadrant, fever as high as 103°F, and vomiting without diarrhea. Although we did not obtain tissue sampling to prove that the mesenteric adenopathy was secondary to COVID-19, the boy eventually developed chest CT findings and severe hyperinflammatory response consistent with COVID-19, tested positive for SARS-CoV-2 by PCR from sputum, and recovered with primarily supportive care. This case report describes a severe case of COVID-19 in a previously healthy teenage patient who initially presented with gastrointestinal symptoms and isolated acute mesenteric adenopathy on imaging.	./cache/cord-356217-igm2t7md.txt	./txt/cord-356217-igm2t7md.txt