儿童显微镜下多血管炎合并新型冠状病毒肺炎

COVID-19 in Pediatric Granulomatosis with Polyangiitis.

作者信息

Saeed Amir, Shorafa Eslam, Seratishirazi Zahra, Abootalebi Seyedenarjes

机构信息

Department of Pediatrics, Division of Intensive Care Unit, Shiraz University of Medical Sciences, Shiraz 71348, Iran.

出版信息

Pediatr Rep. 2021 Jan 4;13(1):31-34. doi: 10.3390/pediatric13010004.

DOI:10.3390/pediatric13010004

PMID:33406578

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7839039/

Abstract

The confirmed cases with COVID-19 in children account for just 1% of the overall confirmed cases. Severe COVID-19 in children is rare. Case Presentation: Our patient was 16 years old with a severe case of COVID-19 and did not survive due to the presence of Granulomatosis with polyangiitis and being treated with immunosuppressive drugs. We used lopinavir, ritonavir, hydroxy chloroquine, intravenous immunoglobulin and continuous veno-venous hemodialysis for treatment. Conclusion: In this patient, an underlying disease and delayed admission to the hospital were two factors complicating his condition.

摘要

儿童新冠确诊病例仅占确诊病例总数的1%。儿童重症新冠病例罕见。病例报告：我们的患者为一名16岁的重症新冠病例，因患有肉芽肿性多血管炎并接受免疫抑制药物治疗而未能存活。我们使用洛匹那韦、利托那韦、羟氯喹、静脉注射免疫球蛋白和持续静脉血液透析进行治疗。结论：在该患者中，基础疾病和延迟入院是使病情复杂化的两个因素。