The girl stayed with the foam in her mouth after being infected with a normal virus that, according to the doctors, spread to her brain, writes
A small patient has significantly worsened after a series of seizures and eventually there was no irreversible brain damage. Chinese doctors who treat it said they could be the cause of Covid-19, as the virus test was positive. “Although Covid-19 is usually manifested by respiratory symptoms, it can also lead to serious neurological manifestations in children,“The doctors from the Medical Center for Women and Children in Kanton explained under the leadership of Dr. Tiantian XU.
More often, cases of cases when The virus caused brain damage, including acute necrotizing encephalopathy, A rare but severe brain disease that may develop after a viral infection such as influenza or Covid-19. However, treatment is still demanding and has many limitations in the event of rapid neurological deterioration in the child.
The case of an 8-year-old girl described in detail in the BMC Infectous Diseases magazine. After infection of the coronavirus, it developed an acute necrotizing encephalopathy, that eventually resulted in brain death. The first signs of a child belonged to Teplota (NAD 38 ° C), No also a headache, a bumpy rash on the hands, legs and torso or vomiting. There is no identifiable trigger of these symptoms based on the information obtained about its health problems.
The patient was transferred to the local medical clinic, where she received medicines that did not alleviate her symptoms. The next day she began to appear the first tonic-clonic seizure in which she had a foam in her mouth. These types of seizures cause The muscles on the hands stiffen and the legs usually begin to shake quickly and rhythmically. During the 5-minute attack of the baby’s limbs, the girl stiffened and trembled and the right eye blinked, but when the seizure stopped, she returned to a relatively good mental state. This required transport to the hospital in Kanton.
When she was accepted, she was still whip and reacted but Later the night she got another minute seizure, after which she vomited. Doctors gave her antibiotics as they suspected infection and also medications to reduce the accumulation of acids in the blood. At midnight the same night the girl became sleepy and the next morning got a third seizure. The doctors managed to stop it by administering diazepam but The girl fell into a comatose state. The tests indicated that Pressure has accumulated in her brain.
An hour after the seizure occurred in the girl breathing failure and had to intubate it, to help her breathe. Later she was transferred to the Medical Center for Women and Children in Guangzhou, where treatment continued. There, health professionals performed several tests. Her saliva samples were positive for Covid-19, while in her stool doctors found traces of rotavirus.
The blood sample was in the meantime positive for Gram -positive coca bacteria. “Despite aggressive therapy, the patient remained in a deep coma without sedatives,” The authors of the report were reported. She seemed not to feel pain, could not breathe herself and did not show the reflexes of the brain stem. The other two examinations within the next few days have led doctors to find that As a result of the virus caused by seizures, the brain of a small patient remained dead.
It was declared dead nine days after admission. “Rotavirus was poorly positive in the stool sample, and he can also accelerate various neurological complications, including seizures and encephalitis,” Written the authors of the message. “But Covid-19 is a more likely dominant factor of this serious encephalopathy, Although the coinfection scenario cannot be completely excluded. Without an autopsy or direct detection of the pathogen in the brain tissue, the definitive culprit remains uncertain, ”added the authors.
Doctors stated that the case of a girl is contrary to the assumption that children and infants occur milder infections of COVID-9. “Our case and other published reports show that some pediatric patients may experience catastrophic neurological consequences,” have written. However, doctors noted that They could not definitely provethat acute necrotizing encephalopathy caused the Covid-19 virus, Since the girl did not detect the virus in the brain tissue.
“This case points to the urgent need for early recognition of neurological complications in children with Covid-19,” closed in the report. “Doctors should maintain increased alertness in case atypical manifestations, including rapid neurological deterioration after infection, ” added.
