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