53 Covid-19 in 18 month old patient. (11th October 2021)

• Record Type: Journal Article
• Authors: Zrnc, Vedrana Zubčić; Barušić, Zoran
• Is Part Of: Archives of disease in childhood. Volume 106(2021)Supplement 2
• Page Start: A22
• Page End: A22
• Publication Date: 2021-10-11
• Subjects: COVID-19; Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2021-europaediatrics.53
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Aim: The aim of the following paper is to present the case of suspected COVID-19 in an 18 month old girl who manifested with typical signs of fever, cough, shortness of breath due to tachypnea and wheezing. Methods: As COVID-19 disease appeared very recently, the first reports in medical literature originate from PRC, showing that severe form is rare in pediatric patients. Most of the patients were asymptomatic (about 50%) and the most commonly reported clinical finding was pneumonia. Main Finding: Our patient was tested at hospital admission. The first RT-PCR test on SARS-COV2, performed on oropharyngeal and nasopharyngeal swab, was positive. At that moment the child did not have typical laboratory findings for COVID-19. There was no evidence of leucopenia or lymphopenia, the CRP was mildly elevated and creatinine kinase MB was at the normal range. Radiological findings did not show bilateral ground-glass opacity. The child did not have a coexisting condition. The second PCR test taken on the fifth day of disease when all respiratory symptoms resolved was negative. Conclusion: In order to determine the spectrum of COVID 19 disease in young children we have to take into account possible co-infection with other respiratory viruses as well as the fact that some performed RT-PCR tests lead to false positive results.