After 3 days of low-grade fever, the girl in Tay Ninh was taken to the emergency room in a state of respiratory failure and a weak heart rate. Specialist doctor II Nguyen Minh Tien, deputy director of the City Children’s Hospital (HCMC), said that this unit is treating a girl with a UTI (7 years old, living in Tay Ninh), in a medical condition. severe, recovered from Covid-19 for more than 2 weeks.

Baby B.’s family said that the child started showing symptoms 3 days before being admitted to the hospital. On the first day, the baby had a mild fever, coughed for a few hours, vomited twice with food and clear fluid, had no liquid digestion, and poor appetite.

On the second day, the baby had a fever but vomited 10 times a day continuously. At the private clinic, the doctor diagnosed the child with a digestive disorder. On the next day, the child began to drowsy, pale lips. The family immediately took them to a local hospital.

At this time, baby B. fell into a drowsy state, tensed his limbs, rolled his eyes, had purple lips, and difficult measuring blood pressure. The baby was treated with endotracheal intubation to help with breathing and infusion of vasopressor adrenaline.

The danger of common causes of Covid-19 bro 1

The girl was treated at the Emergency Department for severe heart damage after Covid-19. Photo: BSCC.
Realizing that the child’s condition was not good, the doctors decided to transfer baby B. to the City Children’s Hospital with a diagnosis of acute myocarditis on day 3 – third-degree atrioventricular block.

“When he arrived at the hospital, the baby was on mechanical ventilation, the body was pale, the pulse was light, the heart was lethargic, the heart enzymes and liver enzymes were elevated. The child’s condition progressed seriously, the shock did not improve,” said Dr. Tien.

Because the child had a negative antigen rapid test but the anti-SARS-CoV-2 antibody was positive, the doctor decided to perform the extracorporeal membrane oxygenation technique by VA ECMO (a technique for patients with heart failure).

In addition, the children were also actively treated with anti-inflammatory, anticoagulant, and electrolytes and acid-base adjustments. After 3 days of ECMO intervention, the child’s condition improved.

“This is one of the manifestations of multi-system inflammatory syndrome with severe heart damage,” said Dr.

In mid-March, the City Children’s Hospital (HCMC) also treated a 9-year-old boy (in Binh Chanh district) with acute myocarditis, requiring urgent ECMO during the night. Fortunately, the child recovered spectacularly after 10 days of ECMO intervention.

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Doctor Nguyen Minh Tien said that cardiovascular damage in children with Covid-19 began to have significant data. Post-Covid-19 problems or prolonged Covid-19 are a burning problem of the health industry during this time.

Multisystem inflammatory syndrome (MIS-C) is a severe post-Covid-19 sequela warned by the Ministry of Health in the guidelines for diagnosis and treatment of Covid-19 for children.

Children may experience this syndrome 2-6 weeks after recovering from Covid-19. In the full-blown stage, children may experience the following symptoms:

– Fever.

– Digestive: Abdominal pain, vomiting, diarrhea.

– Respiratory – Circulation: Tired breathing, arrhythmia.

– Nervous system: Headache, coma, excitation, convulsions, limb weakness.

– Skin rash, edema.

Parents should note that when a child shows these signs, they should take their child to a medical facility with a specialty in pediatrics for a doctor’s examination, accurate diagnosis and appropriate treatment.

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