COVID-19 Precipitating Status Epilepticus in a Pediatric Patient
COVID-19 Precipitating Status Epilepticus in a Pediatric Patient
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DOI：
10.12659/ajcr.925776
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发表时间：
2020-07-30
影响因子：
1.2
通讯作者：
Zuberi, Jamshed
中科院分区：
文献类型：
--
作者：
Farley, Madison;Zuberi, Jamshed
患者：男，8岁最终诊断：covid -19症状：腹痛中心点呼吸窘迫中心点癫痫持续状态中心点呕吐用药：-临床程序：-专科：感染性疾病中心点儿科与新生儿目的：临床异常课程背景：随着严重急性呼吸系统综合征冠状病毒2 （SARS CoV2）在世界各地传播，感染所有年龄段的人，临床医生和研究人员正在努力收集有关冠状病毒病（COVID-19）表现的数据。为了更好地诊断和治疗COVID-19患者，需要进一步研究。病例报告：我们描述了一名8岁男童因癫痫持续状态入院的病例，他的COVID-19检测也呈阳性，同时发烧，没有初始呼吸道症状。根据治疗指南给予苯二氮卓类药物，以减轻癫痫发作活动。随后他出现呼吸窘迫和低饱和度，需要临时紧急插管。所有临床症状在几小时内消失。脑部计算机断层扫描（CT）结果在正常范围内。24小时脑电图异常，提示弥漫性脑功能障碍。由于插管和胸部x线检查发现双侧浸润，进行了COVID-19检测，结果为阳性。结论：为了进行正确的诊断和治疗，患者和临床医生应该意识到COVID-19可能不会以典型的呼吸窘迫和发烧的方式出现。本病例提示COVID-19罕见的神经学表现。
Patient: Male, 8-year-oldFinal Diagnosis: COVID-19Symptoms: Abdominal pain center dot respiratory distress center dot status epilepticus center dot vomitingMedication: -Clinical Procedure: -Specialty: Infectious Diseases center dot Pediatrics and NeonatologyObjective: Unusual clinical courseBackground: As the severe acute respiratory syndrome coronavirus 2 (SARS CoV2) spreads around the world infecting people of all ages, clinicians and researchers are working to gather data on the presentation of coronavirus disease (COVID-19). Further study is necessary to better diagnose and treat COVID-19 patients.Case Report: We describe the case of an 8-year-old boy admitted with status epilepticus, who also tested positive for COVID-19, while afebrile, with no initial respiratory symptoms. Benzodiazepines were given per treatment guidelines, abating the seizure activity. He subsequently developed respiratory distress and desaturation requiring temporary emergent intubation. All clinical symptoms resolved within a few hours. Results of a computed tomography (CT) scan of the brain were within normal limits. Results of a 24-h electroencephalogram (EEG) were abnormal, indicative of diffuse cerebral dysfunction. As a result of intubation and findings of bilateral infiltrates on chest x-ray, a COVID-19 test was administered and the result was positive.Conclusions: For proper diagnosis and treatment, patients and clinicians should be aware that COVID-19 may not present in the typical fashion of respiratory distress and fever. The present case suggests a rare neurological presentation of COVID-19.