We report on an 8-year-old child who presented to our Pediatric Emergency Department after five days of high fever, headache and intermittent abdominal pain, without rhinorrhea, cough, vomiting or diarrhea. He lived in an area with a higher prevalence of COVID-19. RT-PCR for SARS-CoV-2 from nasopharyngeal secretions was positive. His pulse rate was 112 beats per minute, blood pressure 124/70 mmHg, and oxygen saturations were 97% in room air. Physical examination was unremarkable. Complete blood count and chemistries were normal, and C-reactive protein was 2.2 mg/dL. Given the persistent fever, point of care ultrasound was done with a linear probe to screen for pneumonia. All areas of the chest, upper back and axillae were interrogated from apices to the diaphragm. He had A-lines throughout without pleural irregularities or effusion and was discharged home to continue symptomatic care. Of 110 symptomatic children screened a
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