ECMO support in SARS-CoV2 multisystem inflammatory syndrome in children in a child.
Perfusion
; 36(5): 524-528, 2021 07.
Article
in English
| MEDLINE | ID: covidwho-751302
ABSTRACT
In this report, we describe the case of a 5-year-old male with SARS-CoV-2 associated MIS-C with progressive respiratory failure and vasoplegic shock requiring extracorporeal support. At presentation, reverse transcription-polymerase chain reaction (RT-PCR) testing for SARS-CoV-2 was negative, however, SARS-CoV2 antibody testing was positive. Multiple inflammatory markers and cardiac biomarkers were elevated. Echocardiogram demonstrated mildly depressed left ventricular function and no coronary anomalies noted. The patient required mechanical ventilation, vasopressors, and eventually extracorporeal membrane oxygenation (ECMO) for profound circulatory shock and progressive respiratory failure. During his clinical course, recovery of cardiac function was demonstrated however, a middle cerebral artery infarct and left frontal subarachnoid hemorrhage was suffered which ultimately the patient succumbed to. To the best of our knowledge, this is the youngest previously healthy child who had multi-system hyperinflammatory syndrome requiring ECMO support and the first case of SARS-CoV-2 related pediatric stroke.Clinical Trial Registration None.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Subarachnoid Hemorrhage
/
Extracorporeal Membrane Oxygenation
/
Systemic Inflammatory Response Syndrome
/
Infarction, Middle Cerebral Artery
/
SARS-CoV-2
/
COVID-19
Type of study:
Case report
/
Diagnostic study
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Child, preschool
/
Humans
/
Male
Language:
English
Journal:
Perfusion
Journal subject:
Cardiology
Year:
2021
Document Type:
Article
Affiliation country:
0267659120954386
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