tetano
Editor, Senior Moderator
BMC Pediatr
. 2023 Dec 9;23(1):620.
doi: 10.1186/s12887-023-04454-8. A rare complication of acute lower limb ischemia post coronavirus disease 2019 infection in a healthy pediatric patient: case report
Arwa Badr[SUP] 1 [/SUP], Khayria AlSofyani[SUP] 1 [/SUP], Yara AlGoraini[SUP] 2 [/SUP]
Affiliations
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.
Keywords: Case report; Lower limb ischemia; Pediatric; Post-COVID-19.
. 2023 Dec 9;23(1):620.
doi: 10.1186/s12887-023-04454-8. A rare complication of acute lower limb ischemia post coronavirus disease 2019 infection in a healthy pediatric patient: case report
Arwa Badr[SUP] 1 [/SUP], Khayria AlSofyani[SUP] 1 [/SUP], Yara AlGoraini[SUP] 2 [/SUP]
Affiliations
- PMID: 38066489
- PMCID: PMC10709912
- DOI: 10.1186/s12887-023-04454-8
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.
Keywords: Case report; Lower limb ischemia; Pediatric; Post-COVID-19.