THE STRUGGLE FOR THE LIFE OF A CHILD WITH COVID-19 FOR 68 DAYS
DOI:
https://doi.org/10.11603/1681-2727.2021.4.12840Keywords:
child, SARS-CoV-2, pneumonia, ARDS, ECMOAbstract
COVID-19 in children has not been of concern to physicians because children are less vulnerable to new coronavirus infection.
Despite the fact that according to statistics, in pediatric patients there was a mild course of coronavirus infection caused by SARS-CoV-2, unfortunately severe and serious complications such as pneumonia, Kawasaki-like syndrome, multisystem inflammatory syndrome in children (MIS-C), toxic shock syndrome, myocarditis develop in children. Up to 3 % of pediatric patients required hospitalization. At the same time, between 0.8 % and 1 % of children with Covid-19 required assistance in the intensive care unit. Acute respiratory distress syndrome, MIS-C and multiorgan failure are the main causes of severe disease and mortality in children. The rapid development of respiratory failure required various methods of respiratory support, including extracorporeal membrane oxygenation (ECMO).
In the above clinical case, a severe course of COVID-19 complicated by bilateral pneumonia with grade III respiratory failure in a three-year-old girl who was on ECMO for one week was described. The diagnosis was confirmed by detection of SARS-CoV-2 virus RNA by PCR, X-ray and ultrasound examination of the lungs. The disease had a severe dramatic course, accompanied by complications during therapy. The doctors’ desperate struggle for the child’s life ended in victory – the child’s complete recovery.
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