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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.
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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

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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