SARS-CoV-2 infection in a child with Fanconi anemia and determined immunosuppressed status

Autor: Claudia Chirila, Geta Vancea, Dana Ispas, Nicoleta Voicu-Parvu, Nicoleta Tudor, Gabriela Scurtu, Andreea Florentina Stoenescu, Andreea Popica, Raluca Popescu, Emanoil Ceausu, Simin-Aysel Florescu
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Romanian Journal of Infectious Diseases, Vol 24, Iss 3, Pp 146-148 (2021)
Druh dokumentu: article
ISSN: 1454-3389
2069-6051
DOI: 10.37897/RJID.2021.3.4
Popis: Introduction. SARS-CoV-2 virus infection affects all age groups. In children, the infection mainly causes asymptomatic or mildly symptomatic forms of the disease, regardless of their immune status. Case presentation. We describe the case of a 7-year-old male child, known to have Fanconi anemia, scheduled for bone marrow transplantation. The patient comes from a family outbreak of COVID-19, which is why he was tested for SARS-CoV-2 infection. He is asymptomatic at the time of admission to our clinic. The clinical examination performed at the time of admission shows a patient in good general condition, afebrile, with pale skin and mucous membranes, without respiratory changes. Paraclinically, severe neutropenia, severe normochromic normocytic anemia and severe thrombocytopenia are detected, for which transfusions of erythrocyte mass and platelet mass are performed. Due to the immunocompromised status, antibiotic therapy is instituted. If necessary, symptomatic treatment is administered. The evolution is favorable, and the SARS-CoV-2 RT-PCR control test is negative on the eighth day of hospitalization. Conclusions. Immunocompromised status is not a major risk factor for severe COVID-19 in children.
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