International Journal of Pediatrics

Epiglottitis Caused by COVID-19 Infection in a Four-Year-Old Boy

Mehran Karimi; Abdolhamid Jafari nodoushan; Seyed Javad Sayedi; Ali Shahzeidi

Volume 11, Issue 2 , February 2023, , Pages 17438-17442

https://doi.org/10.22038/ijp.2021.59266.4618

Abstract

Background: Epiglottitis is an inflammatory disease involving the epiglottis, vallecula, arytenoid cartilage, and aryepiglottic wrinkles. Acute epiglottitis is relatively rare, but ... Read More Background: Epiglottitis is an inflammatory disease involving the epiglottis, vallecula, arytenoid cartilage, and aryepiglottic wrinkles. Acute epiglottitis is relatively rare, but it can quickly lead to a life-threatening airway obstruction. Diagnosis of epiglottitis is clinical, but radiography and direct vision of the epiglottis can also help with the diagnosis. Clinical manifestations of epiglottitis include fever, sore throat, and in the event of imminent airway obstruction, symptoms of muffled sound, falls, tripod position, and stridor might be presented as well. Epiglottitis can be caused by some bacterial agents or viruses such as adenovirus and measles. COVID-19 was first detected in December 2019 in a group of patients with severe respiratory symptoms in Hubei Province, China. Common symptoms include fever, cough, fatigue, difficulty breathing, and loss of smell and taste. Although COVID-19 disease has a variety of manifestations, only one case of epiglottitis following COVID-19 disease has been reported in adults. However, no cases of epiglottitis have been reported in children with COVID-19. Case presentation: The patient, a 4-year-old boy, came to our center and the patient's family complained about shortness of breath and progressive lethargy of the child from 10 days ago. Since last week, he had been sleeping in a sitting position due to the aggravation of shortness of breath. On physical examination, respiratory distress, tachypnea, subcostal retraction, tail stridor, and crackle was heard in both lungs. Diagnosed with suspected bronchoscopy epiglottitis; and a large, swollen, and cherry-red epiglottis was observed. Based on the patient's history of respiratory symptoms and the prevalence of COVID-19, a reverse pharyngeal polymerase (RT-PCR) transcript test was requested for COVID-19 and the COVID-19 infection was positive. The patient was intubated due to decreased oxygen scorching and was treated with antibiotics due to the diagnosis of epiglottitis and recovered. Conclusion: In this article, we reported the case of a 4-year-old child with epiglottitis in the context of COVID19. To the best of our knowledge, no case of epiglottitis had been, previously, reported in children with COVID19. Therefore, in our opinion, epiglottitis can probably be one of the manifestations of COVID19 in children.

Dietary Intake of Macro- and Micronutrients in children: Comparison with Reference Values

Abdolhamid Jafari Nodoushan; Seyed Javad Sayedi; Azadeh Najarzadeh; Mehran Karimi; Azam Golzar

Volume 9, Issue 10 , October 2021, , Pages 14672-14679

https://doi.org/10.22038/ijp.2021.58272.4561

Abstract

Background: One of the most important factors in maintaining and improving children's health is the quality of diet.Objectives: The aim of this study was to determine the micro and ... Read More

Low Bone Mineral Density and Associated Factors in Patients with Cystic Fibrosis: A Cross-Sectional Study

Abdolhamid Jafari Nodoushan; Soheila Khalilzadeh; Azam Golzar; Maryam Hassanzad; Seyed Javad Sayedi; Aliakbar Velayati

Volume 5, Issue 7 , July 2017, , Pages 5237-5244

https://doi.org/10.22038/ijp.2017.23618.1989

Abstract

Background: Failure to maintain bone mass density is a major complication in patients with cystic fibrosis (CF). This study was conducted to evaluate the prevalence of low bone mineral ... Read More

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Author = Abdolhamid Jafari nodoushan

Epiglottitis Caused by COVID-19 Infection in a Four-Year-Old Boy

Abstract

Dietary Intake of Macro- and Micronutrients in children: Comparison with Reference Values

Abstract

Low Bone Mineral Density and Associated Factors in Patients with Cystic Fibrosis: A Cross-Sectional Study

Abstract