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COVID-19 can cause croup in infants

COVID-19 can cause croup in infants

 



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The study summary and case reports published last month suggest a relationship between croup and COVID-19 in infants.

Croup, Many commonly treated pediatric infections found to have recurred last winter Caused by human parainfluenza virus (HPIV) is characterized by an infection of the upper respiratory tract that causes a severe repetitive cough as a result of swelling around the larynx, trachea, and bronchi.


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The study summary and case reports published last month suggest a relationship between croup and COVID-19 in infants. Source: Adobe Stock

Case report published last month Pediatric Infectious Diseases Journal Written by researchers at the Gazi University Hospital in Turkey, he talked about a 23-month-old healthy child who suffered from a sudden fever and a “barking” cough and was admitted to the PICU of the hospital. Tests for adenovirus, rhinovirus, influenza, etc. returned negative, but SARS-CoV-2 nasal swabs were positive.

“Patient was diagnosed with SARS-CoV-related croup, treated with 0.6 µmg / kg oral dexamethasone, inhaled adrenaline on day 1, and O2 96% saturation under 10 L / min of oxygen in the reservoir mask, “they write. “Wheezing and tachypnea continued 10 hours after the first dose of dexamethasone, so the next day, a second dose of 0.6 mg / kg dexamethasone and adrenergic inhalation therapy were given. It was resolved later. “

The patient was discharged on the third day of his stay, and the problem was resolved by the seventh day, the researchers said.

“One of the causes of croup in children is COVID-19, and we recommend adding COVID-19 to the virus panel to identify the origin of croup,” they write. “I would also like to point out that COVID does not contribute to the severity of croup and may not be an indicator of the following complications: [multi-system inflammatory syndrome in children].. “

Research outline published in Pediatrics Written by general pediatric researchers at both the Boston Children’s Hospital and the Boston Medical Center, COVID-19 has recorded cases of laryngeal tracheitis between March 1, 2020 and January 15, 2022. Inspected the diagnosed child

They found that 75 children were diagnosed with COVID-19-related croup, and 81% of cases occurred during the predominance of the Omicron mutant and increased sharply in December 2021. The median length of stay was 1.7 days. Dexamethasone and / or racemic epinephrine was administered. Researchers also hypothesized that “Omicron mutants cause laryngeal tracheobronchitis.”

“Two years after the COVID-19 pandemic, the pathogenicity, infectivity, and symptoms of the new mutant of SARS-CoV-2 were dynamic and unique,” they write. “Croup may represent yet another such novel presentation: the underlying mechanisms of croup associated with COVID-19, differences in clinical features from other viral causes, and SARS-CoV-. Further research is needed to characterize the appropriate management strategies of the two eras. ”

reference:

Brewster R et al. Pediatrics. 2022; doi: 10.1542 / peds.2022-056492..

Dasdemir S, et al. Pediatr Infect Dis J.. 2021; doi: 10.1097 / INF.0000000000003565..

Sources

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2/ https://www.healio.com/news/primary-care/20220525/covid19-could-cause-croup-in-infants

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