scholarly journals Croup and COVID-19 in a child: a case report and literature review

2021 ◽  
Vol 14 (9) ◽  
pp. e244769
Author(s):  
Chee Chean Lim ◽  
Jeyasakthy Saniasiaya ◽  
Jeyanthi Kulasegarah
Keyword(s):  
Paediatric Intensive Care Unit ◽  
Rare Case ◽  
Prolonged Treatment ◽  
Third Wave ◽  
Close Monitoring ◽  
Limited Experience ◽  
Threatening Condition ◽  
Life Threatening ◽  
Severe Pathology ◽  
Inflammatory Syndrome

Croup (laryngotracheitis) is frequently encountered in the emergency department in a young child presenting with stridor. We describe a rare case of croup secondary to SARS-CoV-2 in an 18-month-old child who presented with stridor and respiratory distress and required urgent intubation. Subsequently, the child developed multisystem inflammatory syndrome in children (MIS-C). The child was monitored in paediatric intensive care unit. We would like to highlight that COVID-19 croup in children may be an indicator for MIS-C, and close monitoring is warranted as MIS-C is a life-threatening condition. Our limited experience suggests that COVID-19 croup especially if associated with MIS-C has an underlying more severe pathology and may require prolonged treatment in comparison with the typical croup or even COVID-19 croup. It is important to recognise this clinical entity during a time when most countries are in a third wave of COVID-19 pandemic.

A RARE CASE OF MULTISYSTEM INFLAMMATORY SYNDROME IN CHILDREN (MIS-C) TEMPORALLY RELATED TO COVID-19 IN A 2-MONTH-OLD INFANT WITH CARDIOVASCULAR AND NEUROLOGICAL INVOLVEMENT

2021 ◽  
pp. 69-71
Author(s):  
Deepa A Banker ◽  
Ishani Sarda ◽  
Bhavdeep M Munga ◽  
Vimal T Maheshwari
Keyword(s):  
Rare Case ◽  
World Health Organisation ◽  
World Health ◽  
Neurological Involvement ◽  
Threatening Condition ◽  
Life Threatening ◽  
Clonic Seizures ◽  
Magnetic Resonance Imaging Mri ◽  
Time Of Admission ◽  
Inflammatory Syndrome

Multisystem Inammatory syndrome in Children (MIS-C) temporally associated to Coronavirus disease 2019 (COVID-19) is a life-threatening condition. It has been commonly reported in the school going age group. We present a rare case of a two-month-old infant who was real time polymerase chain reaction (RT-PCR) positive for the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) fullling the World Health Organisation (WHO) criteria for MISC. Cardiac and inammatory markers were raised at the time of admission with echocardiography showing biventricular dysfunction. Patient was treated with a course of intravenous immunoglobulin (IVIg) with rapid clinical improvement. During the course of hospital stay, patient developed generalised tonic-clonic seizures with magnetic resonance imaging (MRI) of the brain th suggestive of viral encephalitis. Patient was vitally stable and symptom free by the 10 day of admission and subsequ

scholarly journals Acute ileocolitis as a presentation of Sars Cov-2 infection in children- A case report

2021 ◽  
Vol 7 (4) ◽  
pp. 218-220
Author(s):  
Raghavendra H Gobbur ◽  
Ranjima M Mahesh
Keyword(s):  
Clinical Presentation ◽  
Acute Liver Injury ◽  
Kidney Injury ◽  
Symptomatic Infection ◽  
Pain Abdomen ◽  
Asymptomatic Children ◽  
Threatening Condition ◽  
Life Threatening ◽  
Inflammatory Syndrome ◽  
The Impact

As COVID-19 continues to spread in India and other countries, the impact of the disease among children, initially considered less important, is becoming more relevant. The extent of the diversity of clinical presentation of COVID-19 in children are still unclear. We have already seen a new clinical picture of SARS-CoV-2 in children manifesting as a hyper-inflammatory syndrome, with multi-organ involvement similar to Kawasaki Disease and with potential evolution to a shock syndrome. This represented a new phenomenon affecting previously asymptomatic children with SARS-CoV-2 infection. COVID-19 may also manifest as viral hepatitis, acute pancreatitis, acute liver injury, acute kidney injury, ARDS, Sepsis, septic shock and meningo-encephalitis and cerebellar ataxia. The Multisystem Inflammatory Syndrome in Children (MIS-C) associated with SARS-CoV-2 infection occurs weeks after infection and may evolve unnoticed. MIS-Cs pathophysiology remains unclear. However, it appears to be a postinfectious hyperimmune response that may occur during or following asymptomatic or symptomatic infection. COVID-19 infection in children may lead to a potentially life threatening condition that we may not be aware of. We are in need of reporting of the diverse presentation of SARS CoV-2 virus in children. Here we describe a case of a previously normal 14-year-old boy who manifested with severe pain abdomen after SARS CoV-2 infection and was diagnosed as Acute Ileocolitis secondary to COVID-19. Child improved with steroid therapy and was asymptomatic after 3 weeks of treatment.

scholarly journals A RARE CASE OF CHRONIC ECTOPIC PREGNANCY

2021 ◽  
pp. 1-2
Author(s):  
Shridhar Dave ◽  
Vishalkumar Bhardava ◽  
Bhavya Shah
Keyword(s):  
Ectopic Pregnancy ◽  
Inflammatory Reaction ◽  
Rare Case ◽  
Minor Bleeding ◽  
Threatening Condition ◽  
Life Threatening ◽  
Trophoblastic Tissue

Chronic ectopic pregnancy is a life threatening condition which is challenging to diagnose, occurs when trophoblastic tissue invades implanted structure causing a protracted destruction at site of attachment, leads to repeated minor bleeding. And with time a haematocele is formed, leading to inflammatory reaction and chronic pelvic adhesions which resemble complex pelvic mass1. Here 25 year old female presented with amenorrhea for 5 weeks with pain in abdomen and was diagnosed to have chronic ectopic pregnancy on MRI.

scholarly journals RARE CASE OF FETAL MIDGUT VOLVULUS DETECTED BY WHIRPOOL SIGN ON ROUTINE ANTENATAL ULTRASOUND.

2021 ◽  
pp. 66-67
Author(s):  
Meghna Barmase
Keyword(s):  
Case Report ◽  
Poor Prognosis ◽  
Rare Case ◽  
Surgical Intervention ◽  
Midgut Volvulus ◽  
Antenatal Ultrasound ◽  
Caesarean Section Delivery ◽  
Threatening Condition ◽  
Life Threatening ◽  
Mesenteric Vessels

Fetal midgut volvulus is an extremely rare life threatening condition with poor prognosis. It often remains undiagnosed on antenatal ultrasound and manifest as intestinal obstruction in both antenatal and post natal period. Following is the case report of intrauterine midgut volvulus causing proximal obstruction of stomach and duodenum. The infant survived postnatally after caesarean section delivery with prompt and appropriate surgical intervention. Twisting of bowel loops around the mesenteric vessels suggestive of whirpool sign was the most signicant clue leading to the diagnosis of volvulus.

A rare case of rhabdomyolysis and acute renal failure following spinal surgery

2008 ◽  
Vol 9 (4) ◽  
pp. 387-389 ◽  
Author(s):  
Michael Papadakis ◽  
George Sapkas ◽  
Apostolos Tzoutzopoulos
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Spinal Surgery ◽  
Rare Case ◽  
Neurogenic Claudication ◽  
Intermittent Hemodialysis ◽  
Lumbar Surgery ◽  
Adequate Treatment ◽  
Threatening Condition ◽  
Life Threatening

Spinal surgery–associated rhabdomyolysis, although rare, is a life-threatening condition. Presented here is the case of a middle-aged, overweight man who underwent posterior lumbar surgery because of pain and neurogenic claudication. His postoperative course was complicated by the occurrence of rhabdomyolysis. Despite adequate treatment, acute renal failure developed as a sequela. His condition was grave enough to require the administration of intermittent hemodialysis. After a prolonged hospitalization and 5 sessions of hemodialysis, the patient achieved a full recovery. In view of the fact that rhabdomyolysis-induced acute renal failure is associated with a mortality rate of 20–50%, the outcome was favorable.

scholarly journals Heterotopic pregnancy: a case report

2017 ◽  
Vol 6 (5) ◽  
pp. 2121 ◽  
Author(s):  
Amit Gupta ◽  
Aanchal Gupta ◽  
Bharti Gupta ◽  
Neelam Mahajan ◽  
Anju Vij ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Heterotopic Pregnancy ◽  
Assisted Reproductive Technique ◽  
Threatening Condition ◽  
Life Threatening ◽  
Reproductive Technique

Heterotopic pregnancy is defined as the coexistence of intrauterine and extrauterine gestation. The incidence is low and estimated to be 1 in 30,000 of spontaneous pregnancies though it is becoming commoner with assisted reproductive technique. It can be a life-threatening condition and can be easily missed with the diagnosis being overlooked. We present a rare case of spontaneous heterotopic pregnancy with live intrauterine gestation and ruptured left adnexal gestation.

scholarly journals Management of a Mycotic Thoracoabdominal Aortic Aneurysm Involving the Celiac Artery

2016 ◽  
Vol 43 (6) ◽  
pp. 528-530 ◽  
Author(s):  
Ahmet Dolapoglu ◽  
Kim I. de la Cruz ◽  
Joseph S. Coselli
Keyword(s):  
Aortic Aneurysm ◽  
Rare Case ◽  
Mycotic Aneurysm ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Celiac Artery ◽  
Threatening Condition ◽  
Visceral Arteries ◽  
Life Threatening ◽  
In Situ Repair

A mycotic aneurysm that also involves the visceral arteries is a life-threatening condition. Surgical management typically consists of débridement and in situ repair with a Dacron graft and reimplantation of the involved visceral branches. We report a rare case of a mycotic saccular thoracoabdominal aortic aneurysm involving the celiac artery, with Streptococcus pneumoniae as the responsible organism. Successful repair of the aneurysm and concomitant revascularization of the celiac artery were achieved.

scholarly journals A rare case of heterotopic pregnancy: case report

2021 ◽  
Vol 10 (5) ◽  
pp. 2101
Author(s):  
Nisi Patel ◽  
Komal Patel ◽  
Bipin R. Shah
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Cardiac Activity ◽  
Heterotopic Pregnancy ◽  
Assisted Reproductive Technique ◽  
Threatening Condition ◽  
Life Threatening ◽  
Reproductive Technique

Heterotopic pregnancy is defined as the coexistence of intrauterine and extrauterine gestation. The incidence is low and estimated to be 1 in 30,000 of spontaneous pregnancies though it is becoming commoner with assisted reproductive technique. It can be a life-threatening condition and can be easily missed with the diagnosis being overlooked. We present a rare case of spontaneous heterotopic pregnancy with intrauterine gestation without cardiac activity and unruptured tubal ectopic.

The First Case of Multisystem Inflammatory Syndrome in Children Successfully Treated with Combined Therapies Including Extracorporeal Membrane Oxygenation and Plasmapheresis

2021 ◽  
Author(s):  
Capan Konca ◽  
Ayse B. Anil ◽  
Onur Isik ◽  
Emine P. Kulluoglu ◽  
Doga Luleyap ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Severe Disease ◽  
Anticoagulation Therapy ◽  
Definitive Treatment ◽  
Membrane Oxygenation ◽  
First Case ◽  
Threatening Condition ◽  
Child Patient ◽  
Life Threatening ◽  
Inflammatory Syndrome

AbstractMultisystem inflammatory syndrome in children (MIS-C) is a severe disease that can lead to death. There is no definitive treatment for MIS-C yet. It has been reported that intravenous immunoglobulin, intravenous methylprednisolone, fluid supplements, antibiotics, inotropics, extracorporeal membrane oxygenation (ECMO), plasmapheresis, biological therapy, and anticoagulation therapy can be used for treatment. In this article, we presented an 8-year-old girl child patient who survived due to timely administered ECMO and combined therapies including plasmapheresis without any sequela despite her life-threatening condition due to MIS-C.

scholarly journals Hemoperitoneum during Pregnancy: A Rare Case of Spontaneous Rupture of the Uterine Artery

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Catarina Marçal da Silva ◽  
Rita Luz ◽  
Manuela Almeida ◽  
Daniel Pedro ◽  
Bárbara Paredes ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Spontaneous Rupture ◽  
Rare Case ◽  
Uterine Artery ◽  
Fetal Mortality ◽  
Healthy Pregnant Woman ◽  
Threatening Condition ◽  
Life Threatening ◽  
Uneventful Pregnancy

Spontaneous rupture of the uterine artery is a rare cause of hemoperitoneum during pregnancy. This is a life-threatening condition associated with maternal and fetal mortality. We describe a case of spontaneous rupture of the left uterine artery in a 32-year-old healthy pregnant woman with an uneventful pregnancy.

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