Loron Gauthier, Tromeur Thibault, Venot Perrine, Beck Jonathan, Andreoletti Laurent, Mauran Pierre, Bednarek Nathalie
Department of Pediatrics, CHU Reims, Reims, France.
CReSTIC / EA 3804, Reims Champagne-Ardenne University, Reims, France.
Front Pediatr. 2020 Sep 15;8:568. doi: 10.3389/fped.2020.00568. eCollection 2020.
A pandemic linked to the new coronavirus strain (SARS-CoV-2) has been raging for several months. Pediatric populations are less impacted than adults, and critical respiratory diseases seem rare (1, 2). We report the case of an infant, who presented with life-threatening apneas at home requiring basic life support. SARS-CoV-2 was subsequently identified in the patient's nasopharyngeal aspirate. He did not present with bronchiolitis or hypoxic failure as described in severe forms of COVID-19. The outcome was favorable in a few hours. The occurrence of apneas is not uncommon during viral respiratory infections in early infancy; however, there are very few descriptions related to a documented SARS-CoV-2 respiratory tract infection. In light of this clinical case, it seems necessary to quickly bring up a potential COVID-19 contamination in infants admitted for life-threatening apnea, in order to properly report and isolate these patients to avoid further nosocomial dissemination of SARS-CoV-2.
由新型冠状病毒毒株(SARS-CoV-2)引发的大流行已经肆虐了数月。儿科人群受到的影响比成人小,严重呼吸系统疾病似乎很少见(1, 2)。我们报告一例婴儿病例,该婴儿在家中出现危及生命的呼吸暂停,需要基本生命支持。随后在患者的鼻咽抽吸物中检测出SARS-CoV-2。他没有出现如重症COVID-19中所描述的细支气管炎或低氧性呼吸衰竭。数小时后病情转好。呼吸暂停在婴儿早期病毒呼吸道感染期间并不罕见;然而,与有记录的SARS-CoV-2呼吸道感染相关的描述非常少。鉴于此临床病例,对于因危及生命的呼吸暂停入院的婴儿,似乎有必要迅速排查潜在的COVID-19感染,以便正确报告和隔离这些患者,避免SARS-CoV-2在医院内进一步传播。