You are here

Article Text

Article menu
Download PDFPDF
Case report
Shock and dyselectrolytemia in a neonate with late-onset COVID-19 infection
  1. Aditya Kallimath1,
  2. Reema Garegrat2,
  3. Suprabha Patnaik2 and
  4. Pradeep Suryawanshi1
  1. 1Department of Neonatology, Bharati Vidyapeeth University, Pune, Maharashtra, India
  2. 2Bharati Vidyapeeth University, Pune, Maharashtra, India
  1. Correspondence to Dr Reema Garegrat; coolreem18{at}yahoo.com

Abstract

Most reports of COVID-19 in neonates suggest that they are infected postnatally and present with gastrointestinal or respiratory symptoms. We describe a neonate who had community-acquired COVID-19, and presented with late-onset sepsis and developed dyselectrolytemia. The 26-day-old male baby had fever, feed refusal and shock. Rapid antigen test for SARS-CoV-2 by nasopharyngeal swab was positive and levels of circulating inflammatory markers were high. The baby was supported with antibiotics, and inotropic and vasopressor drugs. He had seizures and bradycardia due to dyselectrolytemia on day 2 of admission. On day 3, he had respiratory distress, with non-specific chest radiographic findings, and was managed with non-invasive support for 24 hours. The baby was discharged after 8 days. On serial follow-up, he was breastfeeding well and gaining weight appropriately with no morbidity. Our report highlights a unique presentation of COVID-19, with late-onset infection and shock-like features along with dyselectrolytemia and seizures.

  • COVID-19
  • neonatal intensive care
  • Fluid electrolyte and acid–base disturbances
  • epilepsy and seizures

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-246100

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors AK and RG designed, drafted and revised the article. SP and PS revised it critically for important intellectual content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.