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A fatal SARS-coronavirus-2 induced bone marrow aplasia complicated with invasive fungal infection and severe neutropenic enterocolitis.
Amanati, Ali; Hedayati, Seyyed Bozorgmehr; Ziyaeyan, Mazyar; Honar, Alireza; Dashtianeh, Reyhaneh; Rabiei, Negin; Saki, Nasrin; Karami, Leila.
  • Amanati A; Professor Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. ali_amanati_1356@yahoo.com.
  • Hedayati SB; The Hematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Ziyaeyan M; Professor Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Honar A; Shiraz University of Medical Sciences, Shiraz, Iran.
  • Dashtianeh R; Shiraz University of Medical Sciences, Shiraz, Iran.
  • Rabiei N; Shiraz University of Medical Sciences, Shiraz, Iran.
  • Saki N; Dermatology Department, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Karami L; Molecular Dermatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Infect Dis ; 22(1): 682, 2022 Aug 09.
Article Dans Anglais | MEDLINE | ID: covidwho-2214535
ABSTRACT

BACKGROUND:

Immunization against the coronavirus disease 2019 (COVID-19) began in January 2021 in Iran; nonetheless, due to a lack of vaccination among children under 12, this age group is still at risk of SARS-CoV-2 infection and its complications. CASE PRESENTATION SARS-CoV-2 infection was diagnosed in a 6-year-old girl who had previously been healthy but had developed a fever and pancytopenia. The bone marrow aspiration/biopsy demonstrated just hypocellular marrow without signs of leukemia. She was worked up for primary and secondary causes of pancytopenia. Except for a repeated reactive HIV antibody/Ag P24 assay, all test results were inconclusive. After a thorough diagnostic investigation, the cross-reactivity of the HIV antibody/Ag P24 test with SARS-CoV-2 antibodies was confirmed. The patient did not develop any COVID-19-related signs and symptoms, but she did get a severe invasive fungal infection and neutropenic enterocolitis. She died as a result of disseminated intravascular coagulopathy.

CONCLUSION:

It is critical to recognize children infected with SARS-CoV-2 who exhibit atypical clinical manifestations of COVID-19, such as persistent pancytopenia. SARS-CoV-2 infection can cause severe and deadly consequences in children; thus, pediatricians should be aware of COVID-19's unusual signs and symptoms mimicking other conditions such as aplastic anemia.
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Texte intégral: Disponible Collection: Bases de données internationales Base de données: MEDLINE Sujet Principal: Pancytopénie / Infections à VIH / Entérocolite du patient neutropénique / Infections fongiques invasives / COVID-19 / Anémie aplasique Type d'étude: Rapport de cas / Étude diagnostique / Étude pronostique / Essai contrôlé randomisé Les sujets: Covid long / Vaccins Limites du sujet: Enfant / Femelle / Humains langue: Anglais Revue: BMC Infect Dis Thème du journal: Maladies transmissibles Année: 2022 Type de document: Article Pays d'affiliation: S12879-022-07599-6

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Texte intégral: Disponible Collection: Bases de données internationales Base de données: MEDLINE Sujet Principal: Pancytopénie / Infections à VIH / Entérocolite du patient neutropénique / Infections fongiques invasives / COVID-19 / Anémie aplasique Type d'étude: Rapport de cas / Étude diagnostique / Étude pronostique / Essai contrôlé randomisé Les sujets: Covid long / Vaccins Limites du sujet: Enfant / Femelle / Humains langue: Anglais Revue: BMC Infect Dis Thème du journal: Maladies transmissibles Année: 2022 Type de document: Article Pays d'affiliation: S12879-022-07599-6