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A Case Report for Severe COVID-19 in a 9-Year-Old Child Treated with Remdesivir and Dexamethasone.
Jo, Yoon Hee; Hwang, Yosub; Choi, Soo Han.
  • Jo YH; Department of Pediatrics, Pusan National University Hospital, Busan, Korea.
  • Hwang Y; Department of Pediatrics, Pusan National University Hospital, Busan, Korea.
  • Choi SH; Department of Pediatrics, Pusan National University Hospital, Busan, Korea. soohan.id@gmail.com.
J Korean Med Sci ; 36(29): e203, 2021 Jul 26.
Article in English | MEDLINE | ID: covidwho-1328073
ABSTRACT
Coronavirus disease 2019 (COVID-19) is generally milder in children than in adults, and a substantial proportion of children with the disease have asymptomatic infections. Remdesivir is recommended for severe COVID-19. To date, there are little data on the outcomes of remdesivir treatment in children. We report a case of severe COVID-19 in a previously healthy but obese (body mass index, 27.6; 99.8th percentile of the age) 9-year-old boy treated with remdesivir and dexamethasone. The patient had pneumonia at the time of diagnosis and required supplemental oxygen due to hypoxia one day after diagnosis. The patient developed respiratory distress as his pneumonia progressed rapidly. Therefore, remdesivir with dexamethasone therapy was initiated on hospital day 2. Supplemental oxygen was gradually weaned on hospital day 6 and stopped on hospital day 9. Significant improvement in pneumonic consolidations on chest X-ray was noted on hospital day 8. The patient was discharged on hospital day 21. We did not observe any adverse effects of remdesivir therapy and successfully treated a 9-year-old child with severe COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Dexamethasone / Adenosine Monophosphate / Alanine / SARS-CoV-2 / COVID-19 Drug Treatment Type of study: Case report Limits: Child / Humans / Male Language: English Journal: J Korean Med Sci Journal subject: Medicine Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Dexamethasone / Adenosine Monophosphate / Alanine / SARS-CoV-2 / COVID-19 Drug Treatment Type of study: Case report Limits: Child / Humans / Male Language: English Journal: J Korean Med Sci Journal subject: Medicine Year: 2021 Document Type: Article