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一名患有镰状细胞病的儿童因2019冠状病毒病肺炎和急性胸综合征入住儿科重症监护病房:病例报告。

A child with sickle cell disease admitted with coronavirus disease 2019 pneumonia and acute chest syndrome in pediatric intensive care unit: A case report.

作者信息

Raza Mohammad, Alshehri Saleh Saad, Pasha Mohsina Reshma

机构信息

Pediatric Intensive Care Unit, Tawam Hospital, Al Ain, UAE.

Pediatric Intensive Care Unit, King Saud Medical City, Riyadh, Saudi Arabia.

出版信息

SAGE Open Med Case Rep. 2024 Jul 26;12:2050313X241266436. doi: 10.1177/2050313X241266436. eCollection 2024.

Abstract

Management of sickle cell disease complications in the setting of the coronavirus disease 2019 (COVID-19) pandemic is complicated with little published pediatric data. We report the first documented case of a 9-year-old boy with sickle cell disease, presenting with fever, cough, and shortness of breath, diagnosed to have acute chest syndrome and coronavirus disease 2019 (COVID-19) pneumonia with inflammatory storm requiring ventilation, exchange blood transfusion, immunomodulatory agents, and prophylactic anticoagulation. The patient responded satisfactorily to the management of the acute illness and was found to be well at the next visit to the pediatric hematology outpatient department following hospital discharge.

摘要

在2019冠状病毒病(COVID-19)大流行背景下,镰状细胞病并发症的管理很复杂,且几乎没有已发表的儿科数据。我们报告了首例有记录的9岁镰状细胞病男孩病例,该男孩出现发热、咳嗽和呼吸急促,被诊断为急性胸综合征以及伴有炎症风暴的2019冠状病毒病(COVID-19)肺炎,需要通气、换血输血、免疫调节药物和预防性抗凝治疗。患者对急性疾病的治疗反应良好,出院后在下次儿科血液科门诊就诊时情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/099f/11282508/0ef7e33a76d8/10.1177_2050313X241266436-fig1.jpg

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