Saving the life of a 10-year-old boy with Covid-19 fulminant myocarditis
On April 25, Dr. Phan Huu Phuc – Deputy Director of the Children’s Covid-19 Intensive Care Center (National Children’s Hospital) said that the hospital had successfully saved a 10-year-old child with diabetes. infected with Covid-19, hospitalized with a state of cardiogenic shock, fulminant myocarditis due to Covid-19 is critical.
Subjective because I think my child with Covid-19 will recover quickly
NTN (the baby’s mother), 4 days before being admitted to the hospital, the child had a high fever of 39 degrees, the family quickly tested positive for SARS-CoV-2. However, because of the subjective psychology, thinking that it was only a mild fever and quick to recover, so the family did not take the child to the doctor.
“When I saw that the child was tired, had difficulty breathing, was pale, and his family took him to the hospital, the doctors informed him that he was in critical condition.” Ms. N said.
Dr. Dao Huu Nam – Head of Intensive Care Department, Center for Intensive Care of Covid-19 Patients, said that the pediatric patient is one of the most critical Covid-19 patients at the Center.
“The patient was admitted to the hospital with high fever and fatigue, difficulty breathingrespiratory-circulatory failure. It is known that the child’s history is normal and healthy, with no background diseases or special symptoms”, said Dr. Nam.
Dr. Dao Huu Nam – Head of the Department of Intensive Care, Center for Intensive Care of Children with Covid-19 Patients, National Children’s Hospital. Photo of BVCC
The Covid-19 case has many complicated and different developments
According to doctors, this pediatric patient has different developments and characteristics than normal cases, which is a challenge for doctors in diagnosis and treatment.
“At that time we thought the situation, by you there was a wave infected with SARS-CoV-2 Prior to this, shock and severe myocardial damage may be present in the setting of multisystem inflammatory syndrome (MIS-C), but may also be caused by another episode of acute viral infection.
Therefore, together with the bimeasures recovery initial as support your child’s life function, we right probe more tests to determine the correct diagnosis of the etiology and there are solutions treatmentsuitable“, Dr. Phuc emphasized.
This is the first child with Covid-19 to run ECMO at the National Children’s Hospital. Photo of BVCC
Facing the urgent situation, the doctors of the National Children’s Hospital have coordinated many measures such as mechanical ventilation and dialysis with an adsorbent filter. In addition to helping to regulate homeostasis and epidemic control, this measure helps eliminate inflammatory mediators (such as cytokines) in the case of severe illnesses caused by Covid-19. , thereby helping the patient’s overall condition to improve more easily.
After the patient received initial resuscitation treatment in the above direction, in the first 1-2 days, the patient was quite stable and the prognosis was better, but then the patient suddenly got worse, the doctors decided to Children are scheduled to run ECMO in the hope of saving the baby’s life.
This is a complex technique in the resuscitation treatment of critically ill patients with Covid-19, which is considered the last resort to save a child’s life.
Combining all the treatment measures, going through many stressful days, the patient finally passed the critical stage, crossed the fragile line of life.
Dr. Nam shared, the total number of days the child with dialysis was 5 days, mechanical ventilation for 15 days and ECMO 8 days, after that dangerous period, the patient was weaned from ECMO and learned to breathe normally again.
The happiness cannot be expressed in words of the mother and the baby’s family. Photo of BVCC
Do not be subjective with Covid-19
According to Dr. Nam, up to now, the total number of patients at the Child Care Center for Covid-19 patients is more than 500 patients. However, this is the child with the most severe Covid-19 infection, requiring a combination of complex treatment measures.
The success of saving the baby’s life when his life was very fragile made the doctors very happy.
After a period of treatment and resuscitation, the doctors assessed that the patient’s condition was quite stable, the recovery ability was relatively good, and the heart function had clearly improved.
The situation gradually stabilized back to normal. At present, the baby is being prepared for discharge from the hospital and continues to be periodically re-examined according to the cardiologist.
The patient recovered and was soon discharged from the hospital. Photo of BVCC
Dr. Nam said that most children with Covid-19 have mild symptoms and recover quickly. However, the above pediatric case may be in critical condition because of acute myocarditis.
“People and parents should not be subjective with Covid-19, especially children and adolescents. When detecting that their children have symptoms such as high fever, chest pain, palpitations, cyanosis, difficulty breathing, fatigue, lethargy, heart palpitations, etc. Parents need to take the child to the nearest medical facility for timely detection and treatment.
In addition, parents should pay attention to the vaccination against Covid-19 for children of vaccination age according to regulations of the Ministry of Health. Because, vaccination against Covid-19 is very important, contributing to protecting the health of children in the context of the Covid-19 pandemic, which is still complicated by many complicated developments.”, Dr. Nam recommended.
According to statistics from the US CDC from data from more than 900 hospitals, Covid-19 is the leading culprit for myocarditis in children under 16 years of age. The rate of myocarditis in infected children is 0.133%, the risk of myocarditis in children with Covid-19 is 37 times higher than in the group without Covid-19.
at Blogtuan.info – Source: danviet.vn – Read the original article here
