出生第一个月的儿童发生与呼吸道合胞病毒相关的新发SARS-Cov-2冠状病毒感染

O.V. Kovaleva, Christina A. Koneva
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引用次数: 0

摘要

本文介绍了一名患有先天性心脏病的幼儿合并新型冠状病毒(SARS-CoV-2)和呼吸道合胞病毒(RSV)感染的临床病例。此病开始典型,伴有中度严重的卡他性症状和中毒。患儿病情在发病第3天出现恶化,并与肺炎和严重呼吸衰竭的发展有关。随着肺组织损伤的增加和多器官病变(心血管、消化、泌尿、神经系统)的出现,疾病进展。以该临床病例为例,揭示了一名幼儿新发SARS-CoV-2感染与RSV感染相关的严重病程伴多器官衰竭,并因患者的合并症(先天性心脏病)和不利的病前状况而加重。尽管过程极其艰难,但这个案子还是圆满结束了。鉴于新生儿发生混合感染的风险,儿科医生的警惕、持续的动态监测和旨在防止这些儿童发生并发症的预防措施是重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A new SARS-Cov-2 coronavirus infection associated with respiratory syncytial virus in a child of the first month of life
The article presents a clinical case of a combined course of a new coronavirus (SARS-CoV-2) and respiratory syncytial virus (RSV) infections in a young child with congenital heart disease. The disease began typically, with moderately severe catarrhal phenomena and intoxication. The deterioration of the child's condition was noted by the 3rd day from the onset of the disease, and was associated with the development of pneumonia and severe respiratory failure. The disease progressed with an increase in lung tissue damage and the appearance of multiple organ pathologies (cardiovascular, digestive, urinary, nervous system). On the example of this clinical case, it was revealed that the new SARS-CoV-2 infection associated with RSV infection in a young child had a severe course accompanied by multiple organ failure, which was aggravated by the patient's comorbidity (congenital heart disease) and an unfavorable premorbid condition. Despite the extremely difficult course, the case ended happily. Given the risk of developing mixed infections in newborns, the vigilance of a pediatrician, constant dynamic monitoring and preventive measures aimed at preventing the occurrence of complications in such children are important.
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