COVID-19 associated respiratory failure complicating a pericardial effusion in a patient with sideroblastic anemia. (2021)

• Record Type: Journal Article
• Authors: Sayad, Edouard; Hammoud, Mohamad; Khreis, Dima; El Shami, Maher; Matar, Maroun; Farah, Roula
• Is Part Of: Respiratory medicine case reports. Volume 34(2021)
• Publication Date: 2021
• Subjects: Pericardial effusion -- COVID-19 -- Sideroblastic anemia -- YARS2 -- ECMO; Respiratory organs -- Diseases -- Periodicals; Chest -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory System -- Periodicals; Chest -- Diseases; Respiratory organs -- Diseases; Electronic journals; Periodicals; 616.2
• DOI: 10.1016/j.rmcr.2021.101543
• Languages: English
• ISSNs: 2213-0071

Abstract

Abstract: Background: COVID-19 disease has been associated with several cardiovascular complications that rarely occur in the acute phase of the disease. Case report: A 13-year-old pediatric patient with congenital sideroblastic anemia associated with YARS2 mutation presenting with COVID-19 infection and worsening pericardial effusion followed by a respiratory failure refractory to supplemental oxygen therapy leading to cardiac arrest. Discussion: This case highlights the rapid deterioration that can occur in children with serious hematologic disorders in the context of COVID-19 especially when complicated with pericardial effusion. Conclusion: The importance of pericardiocentesis early in order to allow better ventilation in any significant pericardial effusion case associated with COVID-19 infection and the need for prompt care escalation to centers where ECMO is available.