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...

Descripción completa

Detalles Bibliográficos
Autores principales: Pachauri, Ankit, Singh, Shakal Narayan, Verma, Sanjeev Kumar, Awasthi, Shally
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