COVID-۱۹ – Associated Acute Transverse Myelitis in Children: A Case Report and Review of Literature

  • سال انتشار: 1400
  • محل انتشار: مجله پزشکی کودکان، دوره: 10، شماره: 0
  • کد COI اختصاصی: JR_JPRE-10-0_008
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 90
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نویسندگان

Maryam Naseri

Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Farah Ashrafzadeh

Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Gholamreza Khademi

Pediatric Intensivist, Neonatal Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Shima Imannezhad

Department of Pediatric Neurology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Shahabaddin Sorouri

Internal Department, Mashhad University of Medical Sciences, Mashhad, Iran.

Majid Sezavar

Assistant Professor of Pediatric Intensive Care, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.

چکیده

Background: Several studies have reported neurological manifestations and complications related to specific coronavirus genotypes, including severe acute respiratory syndrome coronavirus ۲ (SARS-CoV-۲). In this study, we examined one of the rare clinical manifestations of Coronavirus disease ۲۰۱۹ (COVID-۱۹), which was one of the first cases of acute transverse myelitis in children in the world.  Case presentation: This case report was dedicated to a little girl with COVID-۱۹ admitted with weakness, lethargy, and constipation. Her magnetic resonance imaging (MRI) showed signal changes accompanied by edema. The patient did not show an optimal response to the methylprednisolone succinate and intravenous human immunoglobulins (IVIG) and experienced cardiorespiratory arrest. The patient was eventually discharged with partial recovery in limb power.  Conclusions: his study demonstrates the importance of rapid diagnosis and treatment of the sequelae of COVID-۱۹ infections.

کلیدواژه ها

Acute transverse myelitis, Children, COVID-۱۹, SARS-CoV-۲

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