1
|
Leone F, Di Giuseppe M, De Luca M, Cursi L, Calo Carducci FI, Krzysztofiak A, Chiurchiù S, Romani L, Russo C, Lancella L, Bernardi S. Pediatric COVID-TB: A Clinical Perspective Based on the Analysis of Three Cases. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10050863. [PMID: 37238411 DOI: 10.3390/children10050863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 05/05/2023] [Accepted: 05/10/2023] [Indexed: 05/28/2023]
Abstract
Coronavirus disease 2019 (COVID-19) and tuberculosis (TB) are currently two major causes of death among infectious diseases. Active tuberculosis and a history of tuberculosis appear to be associated with an increased risk of COVID-19. This coinfection, named COVID-TB, was never described in previously healthy children. We report three cases of pediatric COVID-TB. We describe three girls affected by tuberculosis, who tested positive for SARS-CoV-2. The first patient is a 5-year-old girl who was hospitalized for recurrent TB lymphadenopathy. As she never had any complications related to the concomitant infection with SARS-CoV-2, she received TB treatment. The second case is a 13-year-old patient with a history of pulmonary and splenic tuberculosis. She was admitted to the hospital due to deteriorating respiratory dynamics. She was already undergoing treatment for TB, but in the absence of improvement, she also required treatment for COVID-19. Slowly, the general condition improved until discharge. The last patient, a 10-year-old girl, was hospitalized for supraclavicular swelling. The investigations showed disseminated TB characterized by lung and bone involvement without COVID-19-related complications. She was treated with antitubercular and supportive therapy. Based on the data obtained from the adult population and our small experience, a pediatric patient with COVID-TB infection should be considered potentially at risk of worse clinical outcomes; for this reason, we suggest close observation, careful clinical management, and consideration of targeted anti-SARS-CoV-2 therapies.
Collapse
Affiliation(s)
- Fabrizio Leone
- Maternal, Infantile and Urological Sciences Department, Sapienza University of Rome, 00161 Rome, Italy
| | - Martina Di Giuseppe
- Bambino Gesù Children's Hospital, IRCCS, Immunology an Infectious Diseases University, 00165 Rome, Italy
| | - Maia De Luca
- Bambino Gesù Children's Hospital, IRCCS, Immunology an Infectious Diseases University, 00165 Rome, Italy
| | - Laura Cursi
- Bambino Gesù Children's Hospital, IRCCS, Immunology an Infectious Diseases University, 00165 Rome, Italy
| | | | - Andrzej Krzysztofiak
- Bambino Gesù Children's Hospital, IRCCS, Immunology an Infectious Diseases University, 00165 Rome, Italy
| | - Sara Chiurchiù
- Bambino Gesù Children's Hospital, IRCCS, Immunology an Infectious Diseases University, 00165 Rome, Italy
| | - Lorenza Romani
- Bambino Gesù Children's Hospital, IRCCS, Immunology an Infectious Diseases University, 00165 Rome, Italy
| | - Cristina Russo
- Unit of Microbiology and Diagnostic Immunology, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy
| | - Laura Lancella
- Bambino Gesù Children's Hospital, IRCCS, Immunology an Infectious Diseases University, 00165 Rome, Italy
| | - Stefania Bernardi
- Bambino Gesù Children's Hospital, IRCCS, Immunology an Infectious Diseases University, 00165 Rome, Italy
| |
Collapse
|
2
|
Goh JLK, Chong CY, Lim SZR, Lim KBL, Tan NWH. A Case of Tuberculosis Spondylodiscitis With Paraspinal Abscess in a 2-Year-Old Child. Glob Pediatr Health 2018; 5:2333794X18805614. [PMID: 30349870 PMCID: PMC6195007 DOI: 10.1177/2333794x18805614] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Revised: 08/16/2018] [Accepted: 08/25/2018] [Indexed: 11/16/2022] Open
Abstract
In this article, we report a case of tuberculosis spondylodiscitis in a 2-year-old child. Imaging of her spine showed a paraspinal abscess. The diagnosis of spinal tuberculosis remains difficult, and we discuss its salient features and current management within the pediatric population.
Collapse
Affiliation(s)
| | - Chia Yin Chong
- KK Women's and Children's Hospital, Singapore, Singapore.,National University of Singapore, Singapore, Singapore.,Duke-National University of Singapore, Singapore, Singapore
| | | | - Kevin Boon Leong Lim
- KK Women's and Children's Hospital, Singapore, Singapore.,National University of Singapore, Singapore, Singapore.,Duke-National University of Singapore, Singapore, Singapore
| | - Natalie Woon Hui Tan
- KK Women's and Children's Hospital, Singapore, Singapore.,National University of Singapore, Singapore, Singapore.,Duke-National University of Singapore, Singapore, Singapore.,Nanyang Technological University, Singapore, Singapore
| |
Collapse
|