COVID-19 CHALLENGE, IN WHICH A THREE-YEAR-OLD GIRL WON

• Published in: Wiadomości lekarskie (1960) Vol. 74; no. 10 pt 1; p. 2530
• Main Authors: Lytvyn, Halyna O, Stasiv, Mariia V, Mishchuk, Volodymyr R, Avramenko, Iryna Yu
• Format: Journal Article
• Language: English
• Published: Poland 2021
• Subjects: Adult; Child; Child, Preschool; COVID-19 - complications; Female; Humans; Pandemics; Respiratory Distress Syndrome; SARS-CoV-2; Systemic Inflammatory Response Syndrome; respiratory failure; ACE2; SARS-CoV-2; children; extracorporeal membrane oxygenation (ECMO)
• ISSN: 0043-5147
• DOI: 10.36740/wlek202110130

Since March 11, coronavirus infection has become an intercontinental problem - a pandemic has developed.Ukraine (until December 2019) ranks 17th in the world in the number of Covid-19 cases. Although according to statistics, the children are the least vulnerable group for coronavirus infection, unfortunately, severe and serious complications such as pneumonia, Kawasaki disease and Kawasaki-like syndrome, Multisystem inflammatory syndrome in children, toxic shock syndrome, myocarditis occur in children, too. As of the end of November, according to the Ministry of Health in Ukraine, 732,625 cases of coronavirus were laboratory- confirmed, including 13,720 children. According to the Lviv Regional Laboratory Center of the Ministry of Health, in the Lviv region since the beginning of the Covid-19 pandemic, among 46078 of all infected were about 5-6% of children. To analyze clinical, laboratory features of severe coronavirus infection complicated by bilateral pneumonia with acute respiratory distress syndrome (ARDS) in a three-year-old girl who was on V-V ECMO for one week and mechanical ventilation of the lungs for 28 days. 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 dramatic course but a successful outcome. Life-threatening conditions associated with COVID-19 in children are much less common than in adult patients. However, in some cases, when critical hypoxemia is not eliminated by traditional methods of respiratory support, ECMO can become a life-saving technology and with its timely usage in pediatric patients.