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Saving the life of a 5-month-old baby with COVID-19 causing acute laryngitis, severe respiratory failure

Saving the life of a 5-month-old baby with COVID-19 causing acute laryngitis, severe respiratory failure - Photo 1.

Baby boy hospitalized in good condition shortness of breath, cyanosis. Photo: BVCC

Taking the recorded medical history: The baby started to get sick 2 days ago, with symptoms of mild fever, cough, runny nose, hoarse cry. At about 2 a.m. on March 24, the baby had trouble breathing and was taken to the City Children’s Hospital.

Here, the baby was found to have difficulty breathing, cyanosis, chest tightness, chest constriction, stridor breathing, SpO2 decreased to 82%. Rapid test for SARS-CoV-2 was positive and Real Time PCR was also positive afterwards.

Doctors diagnosed the baby with acute laryngitis, laryngeal dyspnea, severe respiratory failure. The baby was treated with oxygen through a mask with a reserve bag, anti-inflammatory drugs, and aerosol adrenaline to combat airway edema.

After 1 hour, the baby’s condition did not improve, still having difficulty breathing, so he continued nebulizing adrenaline in combination with budesonide nebulizer.

Results after 24 hours of treatment, the baby’s condition improved, with less difficulty in breathing, eating and drinking and continued monitoring and treatment at the Department of Infection. It is known that the mother is also infected COVID-19 5 days before, can be transmitted to the baby during care.

Doctors note: Acute laryngitis, commonly caused by parainfluenzae virus infection, occurs in children aged 5 months to 3 years, but SARS-CoV-2 can also cause acute laryngitis. . Normally, the larynx is a vocal organ located in front of the neck, an anterior protrusion, also known as the “forbidden fruit”, has the function of pronunciation. When the larynx is inflamed, the child has a fever, speaks and cries with a hoarse voice…

If the swelling is much edematous, obstructing the airway, leading to the child showing signs of difficulty breathing, cyanosis, laryngeal stridor, inhalation, leading to death if not treated promptly. Therefore, when seeing a child with a fever and hoarse voice, parents should take the child to a medical facility so that the doctor can examine the cause and find serious signs so that the child can be hospitalized and treated promptly.

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