Neonatal late-onset sepsis caused by SARSCoV2: a case report

ABSTRACT

INTRODUCTION: The disease caused by SARS-CoV-2, also known as COVID-19, is a recently identified disease with mainly respiratory involvement in adults. Reported Latin- American cases of COVID-19 in neonates are scarce. Clinical manifestations are unspecific in this age, with respiratory involvement around 40%. CLINICAL CASE We report a hospitalized patient at the neonatal intensive care unit due to meconium aspiration and hypoxic-ischemic encephalopathy sequelae, in whom is diagnosed COVID-19 at 18 days of life. He presented fever and late onset neonatal sepsis and was considered as an acquired-hospital infection. CONCLUSION: The purpose of this report is to contribute to the clinical description of this entity and highlight the SARS-CoV-2 infection in the differential diagnosis in late onset neonatal sepsis, even in hospitalized patients, to detect and contain opportunely this disease. © 2023 Instituto Nacional de Pediatria. All rights reserved.