We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Steroid‑responsive encephalopathy in autoimmune thyroiditis in a 2‑year‑old child after COVID‑19 infection: A case report.
- Authors
Sunthwal, Shraddha; Lad, Sagar; Khadilkar, Vaman; Botre, Abhijeet; Yardi, Nandan; Ganacharya, Raj; Lad, Sahil
- Abstract
In pediatric patients, neurological manifestation of COVID-19 infection has been reported in acute and postinfectious stages. Hashimoto encephalopathy (HE) is the most common cause of hypothyroidism in children with prevalence being 1.2%. More than 200 cases of HE have been reported in adults. Only 60 cases have been reported in children. We present a case of a 2-year-old girl with status epilepticus and respiratory failure needing prolonged ventilation. Her COVID-19 antibody and antithyroid antibodies (anti-thyroid peroxidase and anti-thyroglobulin) were positive. Her thyroid profile was abnormal. Her clinical state improved after receiving an intravenous immunoglobulin and pulse dose of methylprednisolone. This suggests that complete recovery for such patients can be achieved with early detection and immunomodulatory treatment
- Subjects
STEROID drugs; AUTOIMMUNE thyroiditis; VIRAL antibodies; INTRAVENOUS immunoglobulins; TRACHEOTOMY; KETAMINE; RESPIRATORY insufficiency; AUTOANTIBODIES; STATUS epilepticus; MIDAZOLAM; MAGNETIC resonance imaging; TREATMENT effectiveness; DISCHARGE planning; ARTIFICIAL respiration; METHYLPREDNISOLONE; COVID-19; NUTRITION
- Publication
Journal of Pediatric Critical Care, 2024, Vol 11, Issue 3, p127
- ISSN
2349-6592
- Publication type
Article
- DOI
10.4103/jpcc.jpcc_9_24