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BMC Pediatr
. 2020 Aug 12;20(1):382.
doi: 10.1186/s12887-020-02282-8.
COVID-19-associated apnea and circumoral cyanosis in a 3-week-old
Joseph S Needleman 1 , Amy E Hanson 2
Affiliations
- PMID: 32787956
- DOI: 10.1186/s12887-020-02282-8
Abstract
Background: Data regarding coronavirus disease 2019 (COVID-19) cases and outcomes in infants are sparse compared to older pediatric and adult populations.
Case presentation: We present a three-week-old full-term male with a history of mild hypoxic ischemic encephalopathy (HIE) who was admitted as an inpatient twice for episodes of apnea and perioral cyanosis. The patient tested positive for COVID-19 and negative for other common respiratory viruses at both admissions.
Conclusions: To our knowledge, this is the first report of apnea and perioral cyanosis associated with COVID-19 in an infant. This case highlights a previously undocumented COVID-19 presentation and suggests that even mildly symptomatic infants warrant viral diagnostic testing in an effort to prevent further spread of the disease.
Keywords: Apnea; BRUE; COVID-19; Children; Cyanosis; Infant; Neonate; Pediatrics; SARS-CoV-2.