Inga says her daughter’s temperature rose to 37.6 degrees on Friday and she has a stomach ache. If well-being did not improve over the weekend, the family turned to the children’s ward at Kaunas Clinics. At the time, according to Inga, they had no thoughts about the COVID-19 infection – Emilia felt the symptoms of a cold in October, so it was a whole month ago. After an examination in the children’s emergency department, the girl was hospitalized for a more detailed examination of her health condition.
From Monday to Wednesday, the daughter’s condition only got worse: the temperature rose and her stomach ache increased. She had trouble talking to her on the phone because she was constantly short of air, had headaches, sore throats and neck pain . A few days early in the morning we got a call from doctors that the daughter’s health condition was critical, she was transferred to CPR. I wouldn’t want anyone to experience that horror when you watch your child die in the ward. “
Head of the Pediatric Intensive Care Unit, Kaunas Clinics doc. Vaidotas Gurskis says Emilia has been diagnosed with a severe form of COVID-19, which is diagnosed in people under the age of 21. years old.
Pediatric resuscitator Vaidotas Gurskis
© Photo of Kaunas clinics.
“This form is caused by a very stormy reaction in the body, triggered by a virus, which causes a storm of cytokines (substances released during inflammation) that disrupt the functioning of many organs and systems in the body.
On the first day, when Emilia entered our ward with unstable circulation, low blood pressure and pounding breathing, we connected her to an artificial lung ventilation (DPV) device and caused a medical coma.
We also prescribed medicinal anti-inflammatory treatments with dexamethasone and intravenous immunoglobulin, hemosorption procedures (when substances released during inflammation are removed from the blood), assisted by a clinical toxicologist Marius Perminas and a nurse Agnė Taukočienė. Gurskis. – The treatment of this patient was the consistent and thorough work of a multidisciplinary team, which led to a rapid recovery of the girl’s health. The patient was confirmed with COVID-19 when antibodies were found.
Doc. V. Gurskis is pleased that Emilia had no kidney problems, only minor liver problems were recorded and the previous circulatory, respiratory and coagulation disorders recovered very quickly.
© Vidmantas Balkūnas
Inga gratefully recalls how the pediatric intensive care doctors told her patiently and openly about the disease, the complications, the treatment: “The doctors did not leave Emilia, did everything they could to save our girl. Only thanks to them my daughter woke up from a coma and can cuddle my child again. “
Although the girl is still weak and will spend some time in the hospital, the woman thanks everyone who saved her daughter and warns others. Inga says people are surprised about Emilia’s condition.
“We all hear the extent of the spread of the infection, we hear death rates, but people find it hard to believe that COVID-19 can cause complex complications not only in the elderly but also in children and adolescents.
It just seems distant and unrealistic until you come across it yourself. Then you see not only the terrible suffering of the child, but also how hard the work of the resuscitation doctors is. I wonder how people still flock to the malls, flock to the holiday trees.
What happened to our family could happen to someone else. We want to warn everyone and wish them more protection for themselves and their loved ones, because no parent would want to survive the horror that our family endured, ”emphasizes the importance of raising awareness during the pandemic to women.
Doc. V. Gurskis recalls the main symptoms of COVID-19 disease, which can occur in children: fever above 37 degrees, headache, sore throat, bone fracture, breathing difficulties, loss of taste and smell, lethargy, stomach pain, nausea, diarrhea.
‘We just noticed then. Only parents know best how their child is usually ill and what characterizes him during the illness. If the symptoms are bothersome, don’t go away within a few days and get worse – we recommend contacting the nearest medical facility. The vast majority of children suffer from a mild or asymptomatic form of COVID-19, but if parents are concerned we always recommend seeing a specialist, ”says doc. V. Gurskis.
© Vidmantas Balkūnas
In children, 3 phenotypes of COVID-19 disease causing multi-system inflammatory response syndrome have been reported: toxic shock-like syndrome with pronounced Kawasaki disease or partial onset Kawasaki disease, and fever with pronounced inflammation without shock and Kawasaki disease.
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