Dewiyanti Lilia, Sumarni Neni, Lie Joseph Deni, Hidajati Zuhriah, Kahayana Harancang Pandih, Lukmasari Adriana, Pramana Cipta
Department of Pediatrics, K.R.M.T. Wongsonegoro General Hospital Semarang, Medical Faculty Tarumanagara University, Jakarta, Indonesia.
Department of Obstetrics and Gynecology, K.R.M.T. Wongsonegoro General Hospital Semarang, Medical Faculty Tarumanagara University, Jakarta, Indonesia.
Case Rep Med. 2021 Jun 24;2021:9992073. doi: 10.1155/2021/9992073. eCollection 2021.
The COVID-19 pandemic is a challenge for all medical personnel in the world. Various studies have been conducted to gain more knowledge about SARS-CoV-2, but studies in the pediatric population are still very limited. We report a case of a boy aged two years and seven months who came to the hospital with an atypical generalized seizure for less than 5 minutes and immediately regained consciousness after the seizure. Other symptoms included fever, productive cough, rhinorrhea, and shortness of breath. The X-ray showed a well-defined homogeneous consolidation in the upper right lobe and a small spot in both lungs which consistently showed top right lobar pneumonia and bronchopneumonia. From the SARS-CoV-2 nucleic acid test, positive results were obtained on the third day of hospitalization. The patient received antiseizure therapy, antibiotics, and other supportive therapies by Indonesian Pediatrician Association (IDAI) guidelines. During treatment, the patient responded well to the treatment given, with no other seizure episodes. A negative result on the SARS-CoV-2 nucleic acid test was obtained after twelve days of hospitalization as well as improvements of the lungs as seen from the X-ray.
新冠疫情对全球所有医务人员来说都是一项挑战。为了获取更多关于严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的知识，人们开展了各种研究，但针对儿科人群的研究仍然非常有限。我们报告了一例2岁7个月大的男孩，他因非典型全身性惊厥入院，惊厥持续时间不到5分钟，惊厥后立即恢复意识。其他症状包括发热、咳痰、流涕和呼吸急促。胸部X光显示右上叶有边界清晰的均匀实变影，双肺有小结节影，持续显示为右上叶肺炎和支气管肺炎。从SARS-CoV-2核酸检测结果来看，住院第三天呈阳性。该患者按照印度尼西亚儿科学会（IDAI）的指南接受了抗惊厥治疗、抗生素治疗和其他支持性治疗。治疗期间，患者对所给予的治疗反应良好，未出现其他惊厥发作。住院12天后，SARS-CoV-2核酸检测结果呈阴性，同时胸部X光显示肺部情况有所改善。
