Inga says that her daughter’s temperature rose to 37.6 degrees on Friday and she had a stomach ache. If the well-being did not improve over the weekend, the family turned to the Children’s Emergency Department of Kaunas Clinic. At that time, according to Inga, they had no thoughts about COVID-19 infection – Emilija felt cold symptoms in October, so it had been a whole month. After an examination in the Children’s Emergency Department, the girl was hospitalized in the hospital for a more detailed medical examination.
“From Monday to Wednesday, my daughter’s condition only got worse: her temperature rose and her stomach ache increased. She had a hard time talking to her on the phone because she was constantly short of air, suffering from headaches, sore throats and sore throats. We got a call a few days early in the morning. “Doctors say that her daughter’s health is critical and she is being resuscitated.
Head of the Department of Pediatric Intensive Care, Kaunas Clinic doc. Vaidotas Gurskis says that Emilia has been diagnosed with a severe form of COVID-19, which is diagnosed in people under 21 years of age. years old.
Pediatric resuscitator Vaidotas Gurskis
© Photo of Kaunas clinics.
‘This form is caused by a very turbulent reaction in the body caused by a virus that causes a storm of cytokines (substances released during inflammation) that disrupt many organs and systems in the body.
On the first day that Emily entered our ward with an unstable circulatory system, low blood pressure and palpitations, we connected her to an artificial lung ventilator (DPV) and caused a medical coma.
We also prescribed medical anti-inflammatory treatment with dexamethasone and intravenous immunoglobulin, hemosorption procedures (when substances released during inflammation are removed from the blood), which were assisted by clinical toxicologist Marius Perminas and nurse Agnė Taukočienė, doctors at Kaunas clinics tell. Gurskis. – The treatment of this patient was a consistent and thorough work of a multidisciplinary group, which allowed to quickly restore the girl’s health. When antibodies were found, the patient was confirmed with COVID-19.
Doc. V. Gurskis is glad that Emilia did not have kidney problems, only minor liver problems were recorded, and the previous circulatory, respiratory and coagulation system disorders recovered very quickly.
© Vidmantas Balkūnas
Inga gratefully remembers how the doctors of the Children’s Intensive Care Unit patiently and openly told her about the disease, its complications, treatment: “The doctors did not leave Emilia, did and still do everything to save our girl. Only thanks to them, my daughter woke up from a coma and I can hug my child again. “
Although the girl is still weak and will spend some time in the hospital, the woman thanks everyone who saved her and warns others. Inga says that people are surprised to learn about Emilia’s condition.
“We all hear the prevalence of the infection, we hear death statistics, but people have a hard time believing that COVID-19 can cause complications not only in the elderly, but also in children and adolescents.
It seems distant and unreal only until you encounter it yourself. Then you see not only the terrible suffering of the child, but also the hard work of the resuscitation doctors. It is interesting how people still go to the malls, flowing near the holiday trees.
What happened to our family can happen to anyone else. We want to warn everyone and wish them more protection for themselves and their loved ones, because none of the parents would want to experience the horrors that our family suffered, ”emphasizes the importance of understanding during the pandemic.
Doc. V. Gurskis reminds about the main symptoms of COVID-19 disease that can occur in children: fever over 37 degrees, headache, neck pain, bone fractures, difficulty breathing, loss of taste and smell, lethargy, abdominal pain, nausea, diarrhea.
“Then we just noticed. Only parents know best how their child usually gets sick and what their symptoms are during the illness. If the symptoms are alarming, do not go away for a few days and intensify – we recommend contacting the nearest medical institution. Most children suffer from mild or asymptomatic forms of COVID-19, but if parents are worried, we always recommend consulting a specialist, ”says Associate Professor V. Gurskis.
© Vidmantas Balkūnas
3 phenotypes of COVID-19 disease causing multisystem inflammatory response syndrome have been reported in children: toxic shock-like syndrome with severe or partial onset of Kawasaki disease, and fever with severe inflammation without shock and Kawasaki disease.
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