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COVID-19 CLINICAL MANIFESTATIONS IN CHILDREN AND ADOLESCENTS ADMITTED TO INTENSIVE CARE IN THE CITY OF SÃO CARLOS, BRAZIL: A CASE SERIES
Coronavirus
Child
Critical care
Severe Acute Respiratory Syndrome
Systemic Inflammatory Response Syndrome
Author
Affilliation
Universidade Federal de São Carlos. Departamento de Medicina. São Carlos, SP, Brasil.
Universidade Federal de São Carlos. Departamento de Medicina. São Carlos, SP, Brasil.
Universidade Federal de São Carlos. Departamento de Medicina. São Carlos, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Faculdade de Medicina. Departamento de Otorrinolaringologia e Oftalmologia. Rio de Janeiro, RJ, Brasil.
Universidade Federal de São Carlos. Departamento de Medicina. São Carlos, SP, Brasil.
Universidade Federal de São Carlos. Departamento de Medicina. São Carlos, SP, Brasil.
Universidade Federal de São Carlos. Departamento de Medicina. São Carlos, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Faculdade de Medicina. Departamento de Otorrinolaringologia e Oftalmologia. Rio de Janeiro, RJ, Brasil.
Universidade Federal de São Carlos. Departamento de Medicina. São Carlos, SP, Brasil.
Abstract
Introduction: Children with COVID-19 may be asymptomatic or present a heterogeneous clinical presentation. The present case series aimed to report clinical manifestations of COVID-19 in children and adolescents admitted to pediatric intensive care units (PICU) in the city of São Carlos, Brazil, during 2020 and 2021. Reports: The subjects were six children aged 3 months to 13 years, with COVID-19. The data were collected from electronic charts. All cases were domestic contact with a COVID-19 case. Two cases had multisystem inflammatory syndrome (MIS-C) and one had jaundice and ascites. One case had a seizure. One case required invasive ventilation and two cases presented gastrointestinal symptoms. There were no deaths in the cases. The length of PICU stays varied from one to 16 days. Conclusion: In the six cases reported, COVID-19 clinical manifestations in children and adolescents who required intensive care in São Carlos revealed a heterogeneous presentation and no lethality. It is worth emphasizing that a history of contact with a symptomatic respiratory person should guide the suspicion of COVID-19 in children and indicate a proper follow-up, as COVID-19 may be severe in this population.
Keywords
COVID-19Coronavirus
Child
Critical care
Severe Acute Respiratory Syndrome
Systemic Inflammatory Response Syndrome
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