Cargando…
Thrombocytosis, haemorrhagic pleural effusion and fibro-infiltrative patches with cavitary lung lesions in a child with COVID-19 pneumonia
COVID-19 infection in children is relatively mild and is associated with fewer complications compared with adults. Here we report the case of a previously healthy preteen girl who presented with active COVID-19 and shock. On day 1, ultrasound of the thorax revealed a right-sided pleural effusion wit...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9226928/ https://www.ncbi.nlm.nih.gov/pubmed/35738844 http://dx.doi.org/10.1136/bcr-2022-249466 |
_version_ | 1784734036840677376 |
---|---|
author | Pachauri, Ankit Singh, Shakal Narayan Verma, Sanjeev Kumar Awasthi, Shally |
author_facet | Pachauri, Ankit Singh, Shakal Narayan Verma, Sanjeev Kumar Awasthi, Shally |
author_sort | Pachauri, Ankit |
collection | PubMed |
description | COVID-19 infection in children is relatively mild and is associated with fewer complications compared with adults. Here we report the case of a previously healthy preteen girl who presented with active COVID-19 and shock. On day 1, ultrasound of the thorax revealed a right-sided pleural effusion with haemorrhagic pus on diagnostic tap, which improved clinically with appropriate hospital treatment. Even at discharge, the chest X-ray barely changed, indicating a fibrotic area and a collapsed lung. The patient had persistent thrombocytosis, her inflammatory markers (C reactive protein, ESR, interleukin 6, serum ferritin, D-dimer and procalcitonin) were elevated, and a high-resolution CT scan of the thorax at discharge revealed fibro-infiltrative patches with cavitary lesions in COVID-19 pneumonia, which are unusual findings. The patient was discharged on clinical improvement and was doing fine on follow-up after 2 weeks. |
format | Online Article Text |
id | pubmed-9226928 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-92269282022-07-08 Thrombocytosis, haemorrhagic pleural effusion and fibro-infiltrative patches with cavitary lung lesions in a child with COVID-19 pneumonia Pachauri, Ankit Singh, Shakal Narayan Verma, Sanjeev Kumar Awasthi, Shally BMJ Case Rep Case Reports: Unusual association of diseases/symptoms COVID-19 infection in children is relatively mild and is associated with fewer complications compared with adults. Here we report the case of a previously healthy preteen girl who presented with active COVID-19 and shock. On day 1, ultrasound of the thorax revealed a right-sided pleural effusion with haemorrhagic pus on diagnostic tap, which improved clinically with appropriate hospital treatment. Even at discharge, the chest X-ray barely changed, indicating a fibrotic area and a collapsed lung. The patient had persistent thrombocytosis, her inflammatory markers (C reactive protein, ESR, interleukin 6, serum ferritin, D-dimer and procalcitonin) were elevated, and a high-resolution CT scan of the thorax at discharge revealed fibro-infiltrative patches with cavitary lesions in COVID-19 pneumonia, which are unusual findings. The patient was discharged on clinical improvement and was doing fine on follow-up after 2 weeks. BMJ Publishing Group 2022-06-22 /pmc/articles/PMC9226928/ /pubmed/35738844 http://dx.doi.org/10.1136/bcr-2022-249466 Text en © BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ. |
spellingShingle | Case Reports: Unusual association of diseases/symptoms Pachauri, Ankit Singh, Shakal Narayan Verma, Sanjeev Kumar Awasthi, Shally Thrombocytosis, haemorrhagic pleural effusion and fibro-infiltrative patches with cavitary lung lesions in a child with COVID-19 pneumonia |
title | Thrombocytosis, haemorrhagic pleural effusion and fibro-infiltrative patches with cavitary lung lesions in a child with COVID-19 pneumonia |
title_full | Thrombocytosis, haemorrhagic pleural effusion and fibro-infiltrative patches with cavitary lung lesions in a child with COVID-19 pneumonia |
title_fullStr | Thrombocytosis, haemorrhagic pleural effusion and fibro-infiltrative patches with cavitary lung lesions in a child with COVID-19 pneumonia |
title_full_unstemmed | Thrombocytosis, haemorrhagic pleural effusion and fibro-infiltrative patches with cavitary lung lesions in a child with COVID-19 pneumonia |
title_short | Thrombocytosis, haemorrhagic pleural effusion and fibro-infiltrative patches with cavitary lung lesions in a child with COVID-19 pneumonia |
title_sort | thrombocytosis, haemorrhagic pleural effusion and fibro-infiltrative patches with cavitary lung lesions in a child with covid-19 pneumonia |
topic | Case Reports: Unusual association of diseases/symptoms |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9226928/ https://www.ncbi.nlm.nih.gov/pubmed/35738844 http://dx.doi.org/10.1136/bcr-2022-249466 |
work_keys_str_mv | AT pachauriankit thrombocytosishaemorrhagicpleuraleffusionandfibroinfiltrativepatcheswithcavitarylunglesionsinachildwithcovid19pneumonia AT singhshakalnarayan thrombocytosishaemorrhagicpleuraleffusionandfibroinfiltrativepatcheswithcavitarylunglesionsinachildwithcovid19pneumonia AT vermasanjeevkumar thrombocytosishaemorrhagicpleuraleffusionandfibroinfiltrativepatcheswithcavitarylunglesionsinachildwithcovid19pneumonia AT awasthishally thrombocytosishaemorrhagicpleuraleffusionandfibroinfiltrativepatcheswithcavitarylunglesionsinachildwithcovid19pneumonia |