Bhatta Sabita, Sayed Abida, Bhatta Raj Kumar, Acharya Yogesh
Pediatrics, Woodhull Medical Center, New York, USA.
Medicine and Research, Avalon University School of Medicine, Willemstad, CUW.
Cureus. 2021 Apr 3;13(4):e14281. doi: 10.7759/cureus.14281.
We present a child with a clear and classic COVID-19 symptomatic picture that rapidly progressed to sepsis with persistent hypertension. This patient, a five-year-old Hispanic female child was brought to our emergency department on March 21, 2020, with fever, productive cough, shortness of breath with chest tightness, abdominal pain, and diarrhea for a week. Her condition deteriorated rapidly, and she developed sepsis within 24 hours, needing intensive care unit admission and ventilator support. She tested negative for COVID-19 Biofire ® nucleic acid tests (BioFire Diagnostics, Salt Lake City, Utah 84108 USA); however, she was recently exposed to COVID-19 cases at her school. This case highlights the importance of a high index of COVID-19 suspicion in children in the endemic areas despite negative COVID-19 tests for keeping a watchful eye to prevent sudden deterioration and unexpected complications.
我们报告了一名患有典型新冠病毒病症状的儿童，病情迅速发展为脓毒症并伴有持续性高血压。该患者为一名5岁西班牙裔女童，于2020年3月21日因发热、咳痰、气短伴胸闷、腹痛和腹泻一周被送至我院急诊科。她的病情迅速恶化，在24小时内发展为脓毒症，需要入住重症监护病房并接受呼吸机支持。她的新冠病毒Biofire®核酸检测（美国犹他州盐湖城84108，BioFire诊断公司）结果为阴性；然而，她近期在学校接触过新冠病毒病例。该病例凸显了在流行地区，尽管新冠病毒检测呈阴性，但对儿童保持高度新冠病毒感染怀疑指数的重要性，以便密切观察，防止病情突然恶化和出现意外并发症。
