RESUMO
OBJECTIVE: To evaluate the incidence and pattern of cardiac involvement in children post-COVID (coronavirus disease) infection in a tertiary care referral hospital in India. METHODS: A prospective observational study was conducted including all consecutive children with suspected MIS-C referred to the cardiology services. RESULTS: Of the 111 children with mean (SD) age was 3.5 (3.6) years, 95.4% had cardiac involvement. Abnormalities detected were coronary vasculopathy, pericardial effusion, valvular regurgitation, ventricular dysfunction, diastolic flow reversal in aorta, pulmonary hypertension, bradycardia and intra-cardiac thrombus. The survival rate post treatment was 99%. Early and short-term follow-up data was available in 95% and 70%, respectively. Cardiac parameters improved in majority. CONCLUSION: Cardiac involvement post COVID-19 is often a silent entity and may be missed unless specifically evaluated for. Early echocardiography aided prompt diagnosis, triaging, and treatment, and helps in favorable outcomes.
Assuntos
COVID-19 , Infecções por Coronavirus , Derrame Pericárdico , Humanos , Criança , Pré-Escolar , COVID-19/epidemiologia , COVID-19/complicações , Ecocardiografia , Derrame Pericárdico/epidemiologia , Derrame Pericárdico/etiologia , Infecções por Coronavirus/terapiaRESUMO
Congenital neonatal skull depression, not associated with trauma is a rare clinical entity, with an incidence of 1 in 10000. The depression is thought to be due to compression by foetal limbs or maternal pelvis. Though the condition is mostly self-resolving over the course of a few months, it causes tremendous parental anxiety. We report a case of non-traumatic, congenital depression of skull of a neonate at birth without any neurological deficit or intracranial abnormality noticed on imaging.
