Fulminant Hepatic Failure in a SARS-CoV-2 positive pediatric patient: A case report
- Author:
Jerrymae R. Blasurca
1
;
Jaime A. Santos
1
;
Maria Anna P. Bañez
1
;
Fatima I. Gimenez
1
;
Mary Antonette C. Madrid
1
Author Information
- Publication Type:Case Reports
- Keywords: Case report
- MeSH: COVID-19; SARS-CoV-2; Liver Failure; Massive Hepatic Necrosis
- From: Pediatric Infectious Disease Society of the Philippines Journal 2021;22(1):14-18
- CountryPhilippines
- Language:English
- Abstract: Respiratory symptoms are the most common manifestation of COVID-19 across all age groups and it is most often associated with radiographical findings consistent with pneumonia.2 A recent systematic review estimated that 16% of children with SARS-CoV-2 infection are asymptomatic,3 or others may present with seizures, gastrointestinal bleeding or jaundice. This reports a 2-year old boy with no known co-morbidity who had a 2-week history of abdominal pain and jaundice then had a rapidly progressive course of neurological deterioration and eventual demise. He had markedly elevated liver enzymes and deranged bleeding parameters with elevated ammonia and ferritin levels. Hepatitis B and hepatitis A titers were non-reactive. He was managed as a case of hepatic encephalopathy secondary to cholestatic jaundice. His chest x-ray was normal but his SARS-CoV-2 RT PCR result was positive with a low cycle threshold. Locally, this is the first reported case of SARS-CoV-2 RT-PCR positive pediatric patient presenting as fulminant hepatic failure with no associated respiratory manifestations. Clinicians should be mindful that such presentation, however uncommon, is possible and a high index of suspicion should be maintained.
- Full text:03-Vol-22-No-1_Blasurca_Fulminant-Hepatic-Failure-in-a-SARS-CoV-2-Positive-Pediatric-Patient_A-Case-Report_FORMATTED_v3.pdf
