2024/12/31 by Tilouche, S., Bouguila J ., Ghorbel S +5
#COVID-19 #Child #Enfant #Pediatric Intensive care #SARS- CoV2 #Severe Acute Respiratory Syndrome #Syndrome de détresse respiratoire aigue #acute respiratory distress syndrome #critical #critique #syndrome de détresse respiratoire aigue
paper · doi:10.71566/pist-rmp-194683
Background : Early research and data on Coronavirus disease 2019 (COVID-19) have proven that pediatric clinical forms are not serious in many cases. However, the disease can progress to acute respiratory distress syndrome (ARDS) and multi-organ dysfunction and lead to death. In the present paper, we report one of the first Tunisian critical pediatric cases, a 6-year-old girl with an atypical ARDS secondary to severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) that was supported by non invasive ventilation (NIV) and high flow oxygenation without the use of mechanical ventilation. Observation : The patient presented with a five-day history of coughing and fever. The examination re- vealed marked inter and subcostal airflow, an Oxygen Saturation (02 Sat) of 86% on room air, and 60 cy- cles per minute respiratory rate. She presented with some wheezing and cyanogenic coughing fits and her temperature was 38. 6°C. Laboratory evaluation revealed elevated markers of inflammation. The patient progressed to respiratory failure and testing results for ARDS. The reverse transcriptase for SARS-CoV2 (RT-PCR SARS-CoV2 ) was positive. A thoracic computed tomography scan first suggested SARS-CoV2 infectious lung disease affecting almost half of the lungs associated with atelectasis in the bilateral inferior bases. The patient’s ARDS was managed with non-invasive ventilation and after high flow oxygenation. Conclusions : Given that severe pediatric COVID-19 is rare, this case report can guide pediatricians in the clinical course and management considerations as this pandemic continues to spread.