Key result
Pleural drainage and antibiotics successfully manage pleural empyema in a 12-year-old boy with COVID-19.
Why the study?
Physicians needed to be alerted to atypical pediatric presentations of COVID-19 as case counts increased, and guidelines for managing empyema complicating COVID-19 were lacking.
Case Report (n=1)
No
Pleural empyema is a rare but severe complication of COVID-19 in pediatric patients, particularly those with obesity, requiring prompt drainage and antibiotic therapy.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to empyema in obese pediatric COVID-19; hypothesis-generating and leaves open need for larger studies.
BACKGROUND: With the ongoing coronavirus disease (COVID-19) pandemic, along with the development of new mutations of the virus and an increase in the number of cases among pediatrics, physicians should be aware and alerted on the atypical presentations of the disease, especially in less expected individuals. CASE PRESENTATION: ) who presented with empyema, which was following SARS-CoV-2 infection. The patient had no history of fever. Due to the onset of dyspnea, a chest tube was inserted for him which was later altered to a pleural drainage needle catheter. CONCLUSION: Our case is the first report of COVID-19 presenting as empyema among pediatrics. Pleural empyema should be considered as a rare complication of COVID-19. Since there is still no guideline in the management of empyema in the context of COVID-19, delay in diagnosis and intervention may cause morbidity and mortality in children.
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Abbasi et al. (2021) conducted a case report in COVID-19 and pleural empyema (n=1). Pleural drainage and antibiotic therapy was evaluated on Clinical recovery. A 12-year-old obese boy with COVID-19 developed pleural empyema, which was successfully managed with pleural drainage and antibiotic therapy.
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