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Cogent Medicine ; 8, 2021.
Article in English | EMBASE | ID: covidwho-1617059


Background: Coronavirus disease 19 (COVID-19) tends to be milder in children, but severe cases have been reported. We described a case report of a toddler admitted to our department with additional findings, highlighting the importance of assessing the patient as a whole. Case Presentation: A previously healthy, 15-month-year-old girl presented with fever and dry cough for 10 days, respiratory distress and PCR SARS-CoV-2 was positive. At admission, she presented with hypoxemia (SpO2 89-90% in room air), global retraction and bilateral bronchospasm. She was treated with bronchodilators, methylprednisolone, remdesivir and also amoxicillin/clavulanic acid. Her complete blood count revealed leucocytosis 16,160x109/L, 41% lymphocytes, C-reactive protein 57,9 mg/L, procalcitonin 0,13 ng/mL, sedimentation rate 44 mm/h, ferritin 218,4 ng/mL. Chest computed tomography (CT) scan revealed bilateral peripheral areas of ground glass, coexisting consolidation areas at inferior lobes but also revealed a 6 cm supra-renal mass. Abdominal ultrasound and CT confirmed an heterogeneous right supra-renal gland mass of 5,5cm along the greatest diameter with diffuse calcifications, evolving the inferior vena cava and the renal vascular pedicle, no signs of liver, bone, cutaneous or ganglionic metastization. These features were suggestive of neuroblastoma in stage L2. Vanillylmandelic acid, normetanephrine/creatinine ratio and metanephrine/creatinine ratio were elevated. The metaiodobenzylguanidine (Mibg) scan showed a localized disease. The total excision of the tumour mass was performed, and the histology confirmed neuroblastoma with no N-myc oncogene amplification, nor other bad prognosis chromosomal abnormalities. She is currently under oncological surveillance, with no signs of recurrence. Learning Points Discussion: Neuroblastoma is the most common extracranial solid tumour of childhood. It is known for its broad spectrum of clinical behaviour and outcome. In this case, although this toddler was admitted due to COVID-19 pneumonia, it allowed to identify a localized tumour, perform excision and due to the favourable biology tumour, she has a very good chances of being cured and free of disease.

5th International Conference on Electrical, Telecommunication and Computer Engineering, ELTICOM 2021 ; : 78-83, 2021.
Article in English | Scopus | ID: covidwho-1537690


Coronavirus Disease (COVID-19) is an infectious disease caused by SARS-CoV-2, a newly discovered coronavirus. Infected people experience mild symptoms such as colds, which would lead to severe respiratory-related diseases that weaken the entire body. As the virus can be transmitted primarily through direct contact with an infected person or by touching surfaces and objects contaminated by respiratory droplets, it is critical to control and cut the transmission routes by exposing individuals under quarantine. In this study, the researchers developed an Arduino-based ankle tracker, associated with an application as the GUI, to implement geofencing to monitor people under home quarantine. The ankle tracker acts as the trigger being monitored within a geofence, a circular virtual perimeter. The system was designed to have a 95% confidence level to filter out inaccurate GNSS location data. It will only accept data that is highly accurate which depends on the PDOP value. The Geo-mapping accuracy of the tracker device was tested and presented in this study. © 2021 IEEE.