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- Title
Fatal outcome of SARS-CoV-2 infection (B1.1.7) in a 4-year-old child.
- Authors
Menger, Johanna; Apostolidou, Sofia; Edler, Carolin; Kniep, Inga; Kobbe, Robin; Singer, Dominique; Sperhake, Jan-Peter
- Abstract
This case report highlights details of a case of critical acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) with B1.1.7 variant in a 4-year-old girl who died due to pneumonia and pulmonary hemorrhage. The girl was referred to our University ECMO Center from another University hospital for veno-arterial extracorporeal membrane oxygenation (VA-ECMO). In the clinical course, superinfection with Pseudomonas aeruginosa was detected. Virological evidence of herpes simplex sepsis was also obtained in blood samples on her day of death. Transcription polymerase chain reaction (PCR) confirmed SARS-CoV-2 infection in lung tissue. Postmortem computed tomography showed pulmonary hemorrhage with inhomogeneous density values in both lungs. Lung tissue showed no ventilated areas. Autopsy revealed a massively congested lung with evidence of acute respiratory distress syndrome (ARDS) and pneumonia with multiple abscesses. Histopathology showed a mixture of diffuse alveolar injury with hyaline membranes, massive hemorrhage, and bronchopneumonia with multiple granulocytic abscesses. Cardiac examination revealed pericarditis. Suspicion of myocarditis or myocardial infarction could not be confirmed microscopically. To our knowledge, this is the first autopsy-based case report of the death of a previously healthy child due to the new variant B 1.1.7 in Germany.
- Subjects
GERMANY; MIDDLE East respiratory syndrome; COVID-19; SARS-CoV-2; ADULT respiratory distress syndrome; PSEUDOMONAS aeruginosa infections; EXTRACORPOREAL membrane oxygenation; HERPES simplex; INFECTION
- Publication
International Journal of Legal Medicine, 2022, Vol 136, Issue 1, p189
- ISSN
0937-9827
- Publication type
Case Study
- DOI
10.1007/s00414-021-02687-9