Croup Is One of the Clinical Manifestations of Novel Coronavirus in Children

The manifestations of novel coronavirus are diverse and can manifest through respiratory, gastrointestinal, and even nervous symptoms. Respiratory involvement is usually an upper tract infection or pneumonia but can also present as other forms of pulmonary disorders. A 3-year-old boy presented with...

Full description

Saved in:
Bibliographic Details
Published inCase reports in pulmonology Vol. 2021; pp. 8877182 - 3
Main Authors Kamali Aghdam, Mojtaba, Shabani Mirzaee, Hosein, Eftekhari, Kambiz
Format Journal Article
LanguageEnglish
Published United States Hindawi 2021
Hindawi Limited
Wiley
Subjects
Adenoviruses
Airway management
Case Report
Case reports
Children & youth
Coronaviruses
COVID-19
Emergency medical care
Infections
Influenza
Measles
Patients
Pediatrics
Pharmaceuticals
Pneumonia
Respiratory failure
Respiratory syncytial virus
Ventilators
Viral infections
Viruses
Iran
China
Online AccessGet full text

Cover

More Information
Summary:The manifestations of novel coronavirus are diverse and can manifest through respiratory, gastrointestinal, and even nervous symptoms. Respiratory involvement is usually an upper tract infection or pneumonia but can also present as other forms of pulmonary disorders. A 3-year-old boy presented with cough, hoarseness, and stridor. He was treated with dexamethasone and nebulized adrenaline and a clinical diagnosis of croup was established. After treatment, his symptoms improved for a short time, but suddenly cough exacerbated and was accompanied by respiratory failure and seizures. He was then intubated and mechanically ventilated. Because of the coronavirus epidemic, Reverse-Transcription Polymerase Chain Reaction (RT-PCR) assay was taken from the pharyngeal secretions and was positive. The child was isolated. Due to excessive respiratory secretions and worsening of the general condition, bronchoscopy was performed depicting an image compatible with bacterial tracheitis. He was treated with broad-spectrum antibiotics, antivirals, and supportive care. Finally, after 4 weeks of treatment, the child was discharged in good general condition. Croup is one of the respiratory symptoms of novel coronavirus and can be a risk factor for bacterial tracheitis. Therefore, the presence of clinical manifestations of croup indicates the need for coronavirus PCR testing.
Bibliography:Academic Editor: Daniel T. Merrick
ISSN:2090-6846
2090-6854
DOI:10.1155/2021/8877182