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Pediatric Asthma & Coronavirus (COVID-19)-Clinical Presentation in an Asthmatic Child-Case Report
1Paediatric Department, South West Acute Hospital, 124 Irvinestown Rd, Enniskillen, BT 74 6DN Northern Ireland.
Insights
This case study highlights a 12-year-old asthmatic girl diagnosed with mild pneumonia due to COVID-19. The findings suggest COVID-19 can manifest as mild pneumonia or asthma exacerbation in children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- The COVID-19 pandemic, caused by a novel coronavirus, presents a significant global health challenge.
- While severe disease is more common in the elderly with comorbidities, pediatric cases are increasingly reported.
- Children generally experience milder symptoms, but specific presentations in vulnerable pediatric populations require further investigation.
Purpose of the Study:
- To describe the clinical presentation and management of a pediatric case of COVID-19.
- To highlight the potential for COVID-19 to cause mild pneumonia or trigger asthma exacerbations in children.
- To emphasize the need for continued observation of COVID-19 clinical manifestations in pediatric patients.
Main Methods:
- A case report of a 12-year-old asthmatic female presenting with respiratory symptoms.
- Diagnostic confirmation using reverse transcription polymerase chain reaction (RT-PCR) on a nasopharyngeal sample.
- Radiographic evaluation with chest X-ray to assess pulmonary involvement.
Main Results:
- The patient presented with cough, wheeze, and confirmed mild bronchopneumonia due to COVID-19.
- Treatment involved frequent salbutamol inhaler administration.
- The patient was discharged home two days after hospitalization with a stable condition.
Conclusions:
- COVID-19 in children can present as mild pneumonia.
- Asthmatic children may experience COVID-19 as an exacerbation of their underlying condition.
- Further research and observation of diverse pediatric COVID-19 presentations are recommended.
Abstract:
Pandemic coronavirus (COVID-19) is a novel virus that causes severe pneumonia. Elderly people with co-morbidities are at risk of severe disease. Symptoms are generally milder in children. We present an asthmatic 12-year old girl with cough, wheeze, and mild pneumonia due to COVID-19. Reverse transcription (RT) polymerase chain reaction (PCR) confirmed COVID-19 on nasopharyngeal sample. Chest radiograph revealed bronchopneumonia. Frequent salbutamol inhalers were administered for treatment. Case was discharged home 2 days following hospitalization. COVID-19 may present with mild pneumonia in children or with an exacerbation of asthma in asthmatic children. Additional observations of clinical presentations of COVID-19 in children are recommended.
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