Fulminant Hepatic Failure in a SARS-CoV-2 positive pediatric patient: A case report
Pediatric Infectious Disease Society of the Philippines Journal
;
: 14-18, 2021.
Article
in English
| WPRIM
| ID: wpr-962240
ABSTRACT
@#Respiratory symptoms are the most common manifestation of COVID-19 across all age groups and it is most often associated with radiographical findings consistent with pneumonia.2 A recent systematic review estimated that 16% of children with SARS-CoV-2 infection are asymptomatic,3 or others may present with seizures, gastrointestinal bleeding or jaundice. This reports a 2-year old boy with no known co-morbidity who had a 2-week history of abdominal pain and jaundice then had a rapidly progressive course of neurological deterioration and eventual demise. He had markedly elevated liver enzymes and deranged bleeding parameters with elevated ammonia and ferritin levels. Hepatitis B and hepatitis A titers were non-reactive. He was managed as a case of hepatic encephalopathy secondary to cholestatic jaundice. His chest x-ray was normal but his SARS-CoV-2 RT PCR result was positive with a low cycle threshold. Locally, this is the first reported case of SARS-CoV-2 RT-PCR positive pediatric patient presenting as fulminant hepatic failure with no associated respiratory manifestations. Clinicians should be mindful that such presentation, however uncommon, is possible and a high index of suspicion should be maintained.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Liver Failure
/
Massive Hepatic Necrosis
/
SARS-CoV-2
/
COVID-19
Language:
English
Journal:
Pediatric Infectious Disease Society of the Philippines Journal
Year:
2021
Type:
Article
Similar
MEDLINE
...
LILACS
LIS