A PARTICULAR CASE OF SARS-COV-2 INFECTION IN TWINS

Q4 Immunology and Microbiology Revista Romana de Boli Infectioase Pub Date : 2021-06-30 DOI:10.37897/rjid.2021.2.9
A. Stoenescu, G. Vancea, D. Ispas, Nicoleta Voicu-Pârvu, Nicoleta Tudor, Gabriela Scurtu, R. Popescu, C. Chirilă, E. Sandu, E. Ceaușu, S. Florescu
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Abstract

Introduction. Although SARS-CoV-2 infection is more common in adults, many cases have been reported in the pediatric population. Case presentation. An 8-month-old infant from twin pregnancy, confirmed with COVID-19, is hospitalized with nasal obstruction, serous rhinorrhea, rare cough and watery stools. The epidemiological link is known, both the parents and the maternal grandparents of the infant being confirmed with COVID-19. Biologically, he presented with thrombocytosis and discrete inflammatory syndrome, and the lung radiograph did not show any lesions. At the same time, the twin sister was hospitalized, who presented a similar symptomatology, with a negative SARS-CoV-2 PCR test, but the lung radiograph showed specific lesions of COVID-19. During hospitalization, 2 more SARS-CoV-2 PCR tests were performed, but with negative results. The evolution of the twins was favorable under symptomatic treatment, respectively antibiotic and symptomatic treatment. Conclusion. SARS-CoV-2 infection may be asymptomatic, especially in infants and newborns, and has a lower prevalence.
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双胞胎中sars-cov-2感染的特殊病例
介绍。尽管SARS-CoV-2感染在成人中更为常见,但在儿科人群中也报告了许多病例。案例演示。一名8个月大的双胎婴儿确诊感染COVID-19,因鼻塞、浆液性鼻漏、罕见的咳嗽和水样便而住院。这种流行病学联系是已知的,被确诊感染COVID-19的婴儿的父母和外祖父母都是已知的。生物学上,他表现为血小板增多和离散性炎症综合征,肺部x线片未显示任何病变。与此同时,双胞胎妹妹住院治疗,症状相似,SARS-CoV-2 PCR检测阴性,但肺部x线片显示特异性COVID-19病变。住院期间又进行了2次SARS-CoV-2 PCR检测,均为阴性。在对症治疗下,分别给予抗生素和对症治疗,双胞胎的进化是有利的。结论。SARS-CoV-2感染可能是无症状的,特别是在婴儿和新生儿中,并且患病率较低。
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CiteScore
0.10
自引率
0.00%
发文量
11
审稿时长
4 weeks
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