A Fatal Case of COVID-19 in an Infant with Severe Acute Malnutrition Admitted to a Paediatric Ward in Niger

While there have been very few fatal cases, SARS-CoV-2 has been reported in paediatric patients. This study aims to describe a fatal case of COVID-19 in a child with severe acute malnutrition. The eight-month-old child presented with fever, diarrhoea, and difficulty in breathing. The mother of the c...

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Main Authors: Alido Soumana, Aboubacar Samaila, Lamine Mahaman Moustapha, Moumouni Kamaye, Balkissa Daouda, Ibrahim Alkassoum Salifou, Adamou Lagare, Eric Omar Adehossi, Maman Laminou Ibrahim
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2020/8847415
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author Alido Soumana
Aboubacar Samaila
Lamine Mahaman Moustapha
Moumouni Kamaye
Balkissa Daouda
Ibrahim Alkassoum Salifou
Adamou Lagare
Eric Omar Adehossi
Maman Laminou Ibrahim
author_facet Alido Soumana
Aboubacar Samaila
Lamine Mahaman Moustapha
Moumouni Kamaye
Balkissa Daouda
Ibrahim Alkassoum Salifou
Adamou Lagare
Eric Omar Adehossi
Maman Laminou Ibrahim
author_sort Alido Soumana
collection DOAJ
description While there have been very few fatal cases, SARS-CoV-2 has been reported in paediatric patients. This study aims to describe a fatal case of COVID-19 in a child with severe acute malnutrition. The eight-month-old child presented with fever, diarrhoea, and difficulty in breathing. The mother of the child had fever and shortness of breath four weeks before she died. Physical examination revealed lethargy, dehydration, and severe weight loss with a weight of 5 kg at a height of 78 cm tall. The weight-for-height index was less than three Z-scores, which corresponds to severe acute malnutrition. The pulmonary examination revealed moderate respiratory distress, and the chest X-ray presented features suggestive of pneumonia in the right lung area. In the context of the COVID-19 outbreak in Niger and the circumstances of the mother’s death, a nasal swab was taken for laboratory confirmation. Treatment provided to the child included intranasal oxygen, antibiotics, and a dietary program with therapeutic milk. The child died 48 hours after his admission. The history of contact with a SARS-CoV-2 suspect or positive patient should lead to screening for infection by using RT-PCR. It is important to investigate malnutrition as a potential risk factor for severe SARS-CoV-2 infection and resultant mortality.
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series Case Reports in Pediatrics
spelling doaj-art-2e24f7a4a0f749348a309d25419363ae2025-02-03T01:01:27ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/88474158847415A Fatal Case of COVID-19 in an Infant with Severe Acute Malnutrition Admitted to a Paediatric Ward in NigerAlido Soumana0Aboubacar Samaila1Lamine Mahaman Moustapha2Moumouni Kamaye3Balkissa Daouda4Ibrahim Alkassoum Salifou5Adamou Lagare6Eric Omar Adehossi7Maman Laminou Ibrahim8Department of Pediatrics, Amirou Boubacar Diallo National Hospital of Niamey, Niamey, NigerDepartment of Pediatrics, Amirou Boubacar Diallo National Hospital of Niamey, Niamey, NigerFaculty of Health Science, University of Zinder, Zinder, NigerSciences of Health Faculty, Abdou Moumouni University of Niamey, Niamey, NigerDepartment of Pediatrics, Amirou Boubacar Diallo National Hospital of Niamey, Niamey, NigerSciences of Health Faculty, Abdou Moumouni University of Niamey, Niamey, NigerCentre de Recherche Médicale et Sanitaire (CERMES), Niamey, NigerSciences of Health Faculty, Abdou Moumouni University of Niamey, Niamey, NigerCentre de Recherche Médicale et Sanitaire (CERMES), Niamey, NigerWhile there have been very few fatal cases, SARS-CoV-2 has been reported in paediatric patients. This study aims to describe a fatal case of COVID-19 in a child with severe acute malnutrition. The eight-month-old child presented with fever, diarrhoea, and difficulty in breathing. The mother of the child had fever and shortness of breath four weeks before she died. Physical examination revealed lethargy, dehydration, and severe weight loss with a weight of 5 kg at a height of 78 cm tall. The weight-for-height index was less than three Z-scores, which corresponds to severe acute malnutrition. The pulmonary examination revealed moderate respiratory distress, and the chest X-ray presented features suggestive of pneumonia in the right lung area. In the context of the COVID-19 outbreak in Niger and the circumstances of the mother’s death, a nasal swab was taken for laboratory confirmation. Treatment provided to the child included intranasal oxygen, antibiotics, and a dietary program with therapeutic milk. The child died 48 hours after his admission. The history of contact with a SARS-CoV-2 suspect or positive patient should lead to screening for infection by using RT-PCR. It is important to investigate malnutrition as a potential risk factor for severe SARS-CoV-2 infection and resultant mortality.http://dx.doi.org/10.1155/2020/8847415
spellingShingle Alido Soumana
Aboubacar Samaila
Lamine Mahaman Moustapha
Moumouni Kamaye
Balkissa Daouda
Ibrahim Alkassoum Salifou
Adamou Lagare
Eric Omar Adehossi
Maman Laminou Ibrahim
A Fatal Case of COVID-19 in an Infant with Severe Acute Malnutrition Admitted to a Paediatric Ward in Niger
Case Reports in Pediatrics
title A Fatal Case of COVID-19 in an Infant with Severe Acute Malnutrition Admitted to a Paediatric Ward in Niger
title_full A Fatal Case of COVID-19 in an Infant with Severe Acute Malnutrition Admitted to a Paediatric Ward in Niger
title_fullStr A Fatal Case of COVID-19 in an Infant with Severe Acute Malnutrition Admitted to a Paediatric Ward in Niger
title_full_unstemmed A Fatal Case of COVID-19 in an Infant with Severe Acute Malnutrition Admitted to a Paediatric Ward in Niger
title_short A Fatal Case of COVID-19 in an Infant with Severe Acute Malnutrition Admitted to a Paediatric Ward in Niger
title_sort fatal case of covid 19 in an infant with severe acute malnutrition admitted to a paediatric ward in niger
url http://dx.doi.org/10.1155/2020/8847415
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