A fulminant presentation of post-COVID-19 necrotizing pneumonia and ischemic stroke in an 8-year-old girl: A case report and literature review.
Fahimeh EhsanipurPouya EbrahimiLeila TaherniaMohammad Vafaee-ShahiPublished in: Clinical case reports (2024)
Necrotizing pneumonia (NP) is the destruction of the interstitial part of the lung due to severe infection. One cause of this rare and fatal condition in pediatrics is Acinetobacter. Severe infections, especially pneumonia, can prone pediatric patients to ischemic stroke. This study reports an 8-year-old girl presented to the emergency department complaining of shortness of breath, fever, and fatigue. She was admitted to the intensive care unit due to respiratory distress and pericardial effusion. Swab and respiratory secretion tests for COVID-19 and Acinetobacter were positive. In her admission course, her condition deteriorated, and on the fifth day, she underwent a craniotomy due to the signs of increased intracranial pressure (ICP). The computed tomography (CT) scan showed an ischemic stroke. Despite all efforts and medical efforts, the patient's clinical condition got worse, and she died 10 days after the surgery. COVID-19 can lead to vulnerability to severe bacterial infections such as NP in pediatrics. Severe infections are a significant risk factor for ischemic stroke. The presentation might be different in intubated unconscious patients, such as detecting increased ICP signs. In severe and extensive cases of NP and ischemia, the destruction of the lungs and brain tissue might be irreversible and even lethal. Doctors and parents should consider neurologic complaints in children with infectious diseases as a serious issue since infections make children vulnerable to complications such as stroke.
Keyphrases
- computed tomography
- emergency department
- coronavirus disease
- atrial fibrillation
- sars cov
- early onset
- end stage renal disease
- case report
- young adults
- infectious diseases
- healthcare
- positron emission tomography
- newly diagnosed
- magnetic resonance imaging
- minimally invasive
- ejection fraction
- chronic kidney disease
- drug induced
- respiratory syndrome coronavirus
- climate change
- acinetobacter baumannii
- community acquired pneumonia
- coronary artery disease
- multiple sclerosis
- peritoneal dialysis
- drug resistant
- cystic fibrosis
- pseudomonas aeruginosa
- prognostic factors
- acute coronary syndrome
- risk factors
- respiratory failure
- physical activity
- patient reported outcomes
- depressive symptoms
- adverse drug
- mechanical ventilation
- electronic health record
- coronary artery bypass