Neonatology and Perinatology

Neonatal Sepsis Covid_19

Neonatal sepsis is a type of neonatal infection and specifically refers to the presence in a newborn baby of a bacterial blood stream infection. 3Year Old boy has been attacked with Covid_19. He had previously received a 48-hour course of antibiotics for suspected neonatal sepsis because of a fever (temperature, 38.5°C), but the workup for sepsis was negative, and he was discharged home. Patient had Nasal swabs were obtained for severe acute respiratory syndrome coronavirus (SARS-CoV-testing and a respiratory viral panel. Chest radiography performed after intubation showed bilateral infiltrates and partial collapse of the right upper lobe. Droplet and contact precautions were initiated, and he was transferred to a negative-pressure room in the Pediatric intensive care unit (PICU). Hydroxy chloroquine and azithromycin were initiated for presumed Covid-19. A pneumothorax that developed on the right side was successfully treated by tube thoracotomy. The patient was intubated on day 5 and was transferred out of the PICU. He completed the 5-day course of hydroxy chloroquine and azithromycin. The patient was discharged on day 9 without supplemental oxygen. Although children are less likely than an adult to have severe Covid-19, this case illustrates that it can occur and can be successfully managed with standard PICU protocols.