ABSTRACT
The ongoing pandemic of the new coronavirus infection allows us to discover new information concerning the clinical course of the disease. Despite the rarer registration and mild course of COVID-19 in children, we get new data on more severe manifestations in the form of damage to various organs including cardiovascular system. SARS-CoV-2 can lead to myocarditis development, arrhythmia, heart failure, etc. According to an infectious diseases hospital in Omsk, heart changes were recorded in 5.8% of hospitalized children with COVID-19. The article presents a clinical case of the new coronavirus infection in a child of 15 years old who was on treatment in the infection diseases hospital of Budgetary Healthcare Institution of Omsk Oblast City Children's Clinical Hospital 3 of Omsk. The diagnosis was confirmed by examining nasopharyngeal smears for evidence of RNA SARS-CoV-2 by PCR. The course of infection in this patient is characterized by myocarditis development following medium severity disease without comorbid pathology. Copyright © 2022 Shigabutdin Marjani Institute of History of Academy of Sciences. All rights reserved.
ABSTRACT
Objective: The article deals with a clinical case of new coronavirus infection in a 15-year-old child who was receiving treatment in an infectious diseases hospital of City Children's Clinical Hospital №3 during the period from 10 October to 1 December 2020. Materials and methods. The diagnosis was confirmed through nasal swabs examination for the presence of SARS-CoV-2 RNA using PCR and SARS-CoV-2 IgM detection through ELISA. Results. The main feature of the infection course in the present patient was multisystem inflammatory syndrome development with long-term fever, maculopapular rash and multisystemic lesions including bilateral pneumonia, acute carditis and polyserositis.
ABSTRACT
The study of the infection caused by the SARS-CoV-2 coronavirus is highly relevant. Objective: To study the clinical and epidemiological features of a new coronavirus infection in children in the city of Omsk and the Omsk region during the 2020 epidemic. Materials and methods. We conducted a retrospective study of 68 children aged 1-18 years diagnosed with new coronavirus disease and receiving medical treatment in Infectious Diseases Hospital of City Children's Clinical Hospital No in Omsk between April and September 2020. In all children, the diagnosis was confirmed by examination of nasopharyngeal / oropharyngeal swabs for RNA SARS-CoV-2 by PCR. Results. Among those hospitalized prevailed children over 10 years old (61.7%), no reliable difference based on sex was observed. 83.8% of children contacted with COVID-19-infected people. Most children had the new coronavirus infection in mild form (61.8%) with upper respiratory tract damage. Pneumonia was recorded only in 16.2% of examined children over the age of 10. The key clinical symptoms in childhood were: yawn hyperemia, fever and cough. Impaired sense of smell in the form of hyposmia and anosmia developed only in children over the age of 10. Leukopenia detection in blood in moderate forms correlated with the presence of pneumonia. Conclusion. Given the mild course of COVID-19 in children, early isolation and treatment on an outpatient basis should be considered the most effective approach to patient management.