A Child with COVID-19 Complicated by Rapidly Progressive Severe Organizing Pneumonia: A Case Report.

Autor:	Lau T; Department of Pediatrics, John A Burns School of Medicine, University of Hawai'i, Honolulu, HI (TL, AD)., Dutta A; Department of Pediatrics, John A Burns School of Medicine, University of Hawai'i, Honolulu, HI (TL, AD)., Purohit PJ; Division of Critical Care, Kapi'olani Medical Center for Women and Children, Honolulu, HI (PJP, AF)., Thompson K; Department of Pathology, Kapi'olani Medical Center for Women and Children, Honolulu, HI (KT)., Yamamoto K; Rheumatology, Kapi'olani Medical Center for Women and Children, Honolulu, HI (KY, DK)., Feng A; Division of Critical Care, Kapi'olani Medical Center for Women and Children, Honolulu, HI (PJP, AF)., Beaty T; Pulmonary, Kapi'olani Medical Center for Women and Children, Honolulu, HI (TB, BW, EF)., Melish M; Infectious Diseases, Kapi'olani Medical Center for Women and Children, Honolulu, HI (MM, BP, REB)., Prothero B; Infectious Diseases, Kapi'olani Medical Center for Women and Children, Honolulu, HI (MM, BP, REB)., Kurahara D; Rheumatology, Kapi'olani Medical Center for Women and Children, Honolulu, HI (KY, DK)., Wu B; Pulmonary, Kapi'olani Medical Center for Women and Children, Honolulu, HI (TB, BW, EF)., Fong E; Pulmonary, Kapi'olani Medical Center for Women and Children, Honolulu, HI (TB, BW, EF)., Bégué RE; Infectious Diseases, Kapi'olani Medical Center for Women and Children, Honolulu, HI (MM, BP, REB).
Jazyk:	angličtina
Zdroj:	Hawai'i journal of health & social welfare [Hawaii J Health Soc Welf] 2024 Oct; Vol. 83 (10), pp. 274-278.
DOI:	10.62547/XGJS9690
Abstrakt:	A 2-year-old boy tested positive for SARS-CoV-2 and, after 30 days of mild-moderate respiratory symptoms, suddenly deteriorated and required extracorporeal membrane oxygenation. Lung biopsy was performed with findings consistent with organizing pneumonia. He received intensive therapy with high-dose methylprednisolone, intravenous immune globulin, rituximab, and plasmapheresis without improvement. He died after 85 days hospitalization. This case highlights unique presentations of COVID-19 and reaffirms the concept that, while rare in Hawai'i, pediatric COVID-19 is an ongoing problem and that severe, even fatal, disease can occur. Competing Interests: None of the authors identify a conflict of interest. (©Copyright 2024 by University Health Partners of Hawai‘i (UHP Hawai‘i).)
Databáze:	MEDLINE
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