ABSTRACT
BACKGROUND: Pneumopericardium (PPC) is one of the rarest pulmonary air leak syndromes, but the incidence is the highest in the neonatal period. Risk factors include premature infants with respiratory distress (RD) syndrome, receiving active resuscitation, meconium aspiration syndrome, and aggressive mechanical ventilation. Several cases have also been reported related to COVID-19. CASE PRESENTATION: We report a case of a female newborn with a birth weight of 3300 grams a COVID-19 confirmed 35-year-old G3P2A0 mother. The baby was not crying at born and the amniotic fluid was stained green. The baby experienced RD and was intubated. A babygram was performed at the age of 5 h with the impression of a too deep endotracheal tube, neonatal pneumonia, and PPC. COVID-19 RT-PCR examination of the baby was positive. There were no signs of cardiac tamponade, so it was decided to take conservative and supportive management. CONCLUSION: Resolution of PPC was found on repeated babygram 26 h later. The baby was then discharged after 19 days of treatment.
ABSTRACT
COVID-19, the disease caused by the novel coronavirus SARS-CoV-2 has led to a global pandemic affecting persons of all ages. Respiratory failure can occur in adults particularly the elderly and those with underlying health conditions. Limited data are available for preterm and infant with COVID-19. Pediatric data demonstrate that children of all ages are susceptible to SARS-CoV-2 and that infants under 1 year of age SARS-CoV-2 are at risk for severe disease although this is still is a relatively rare outcome. The SARS-CoV-2 caused a spectrum manifestations ranging from mild to severe respiratory tract infection. We described the first case of preterm infant SARS-CoV-2 infection in the city of Semarang, Indonesia. This case diagnosed four weeks after birth and manifesting with severe respiratory failure requiring mechanical ventilation support and then recovered.