We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
A rare complication of acute lower limb ischemia post coronavirus disease 2019 infection in a healthy pediatric patient: case report.
- Authors
Badr, Arwa; AlSofyani, Khayria; AlGoraini, Yara
- Abstract
Background: Coronavirus Disease 2019 (COVID-19) is a novel respiratory disease that first emerged in 2019. Patients infected with this disease present with a myriad of symptoms. Limb ischemia and hypercoagulability are complications identified in adults. COVID-19-related vasculitis is a known but seldom reported complication in pediatric patients, and the treatment approach is still not well established. Case presentation: We report the case of a healthy four-year-old female with a history of COVID-19 who developed acute lower limb ischemia. This was initially treated as a case of acute snake envenomation by administering snake antivenom with no improvement. She eventually developed lower limb acrocyanosis with an inability to ambulate. The patient was started on interleukin-6 receptor inhibitors (tocilizumab), anticoagulants, and pulse steroid therapy. The patient had complete resolution with the loss of only one toe. Conclusion: Identification of thromboembolic complications in pediatric patients with no comorbidities and a history of COVID-19 can be difficult. Early recognition and treatment have a major impact on morbidity and can increase the likelihood of limb salvage.
- Subjects
COVID-19; CHILD patients; CORONAVIRUS diseases; SNAKEBITES; INTERLEUKIN-6 receptors; ISCHEMIA; RESPIRATORY diseases
- Publication
BMC Pediatrics, 2023, Vol 23, Issue 1, p1
- ISSN
1471-2431
- Publication type
Article
- DOI
10.1186/s12887-023-04454-8