[In response to the article «Impact of the COVID-19 pandemic in the emergency room: First findings in a hospital in Madrid»].
Juan Carlos Molina Cabañero, David Andina Martínez, María José Martín Díaz, José Antonio Alonso Cadenas
[In search of other respiratory viruses during the COVID-19 pandemic].
G Saint-Pierre Contreras, G Muñoz Gomez, F Silva Ojeda
[Lactate dehydrogenase, COVID-19 and mortality].
Konstantinos Bartziokas, Konstantinos Kostikas
[Lichen planus after SARS-CoV-2 infection treated with lopinavir/ritonavir].
Javier Gimeno Castillo, Francisco Javier de la Torre Gomar, Amaia Saenz Aguirre
[Living together, getting sick differently in the COVID-19 pandemic].
Á Redondo-Sendino, I A Chicaiza Portilla, M A Perea Amurrio, C Montejo Martínez
[Management of infectious complications associated with coronavirus infection in severe patients admitted to ICU].
infection prevention, Nosocomial, pneumonia, SARS-CoV-2, Opportunistic infections
Infections have become one of the main complications of patients with severe SARS-CoV-2 pneumonia admitted in ICU. Poor immune status, frequent development of organic failure requiring invasive supportive treatments, and prolonged ICU length of stay in saturated structural areas of patients are risk factors for infection development. The Working Group on Infectious Diseases and Sepsis GTEIS of the Spanish Society of Intensive Medicine and Coronary Units SEMICYUC emphasizes the importance of infection prevention measures related to health care, the detection and early treatment of major infections in the patient with SARS-CoV-2 infections. Bacterial co-infection, respiratory infections related to mechanical ventilation, catheter-related bacteremia, device-associated urinary tract infection and opportunistic infections are review in the document.
Ángel Estella, Pablo Vidal-Cortés, Alejandro Rodriguez, David Andaluz Ojeda, Ignacio Martin-Loeches, Emili Díaz, Borja Suberviola, María Pilar Gracia Arnillas, Mercedes Catalán González, Francisco Álvarez-Lerma, Paula Ramirez, Xavier Nuvials, Marcio Borges Sa, Rafael Zaragoza
[Mutations, variants and strains of SARS-CoV-2].
[Organization of a free mass distribution campaign of long-lasting insecticidal mosquito nets in the context of COVID-19 in Niger].
Prevention, Malaria, Pandemic, SARS-CoV-2, LLIMNs
Long-lasting insecticidal mosquito nets (LLIMNs) are needed for malaria vector control. However, their distribution is not yet optimal in sub-Saharan regions. According to projections, COVID-19 pandemic will further delay the distribution of LLIMNs. In Niger, a distribution campaign of LLIMNs with a multi-sectoral approach (state-partner-civil society) was organized in compliance with barrier measures for preventing transmission of COVID-19. A door-to-door strategy was chosen to implement this campaign, in order to avoid entry into confined spaces and to engage community. A total of 13,994,681 people received LLIMNs (reflecting a success rate of 101%) in six targeted regions. A collective effort is needed to sustain the fight against malaria in the COVID-19 era.
Fatima Aboubakar, Hadiza Jackou, Blanche-Philomene Melanga Anya, Boubé Hamani, Patrick Katoto, Charles Shey Wiysonge
[Parsonage-Turner syndrome post-infection by SARS-CoV-2: A Case Report].
Martha Alvarado, Yiyang Lin-Miao, Mariola Carrillo-Arolas
hyperinflammation, toxic shock syndrome, MIS-C, Kawasaki syndrome, SARS CoV‐2
The boy of Egyptian origin was previously healthy. After a history of fever for 7 days, abdominal pain, vomiting and dry cough resistant to treatment with oral antibiotics, he was admitted to hospital. The clinical examination showed a slightly red throat, a tense abdomen and erythema. The blood tests revealed leukocytosis and significantly increased inflammatory parameters. The abdominal ultrasound showed thickened intestinal loops in the left lower abdomen and the echocardiography showed minimal mitral regurgitation, a narrow pericardial effusion lamella over both ventricles and normal coronary arteries. Accordingly, cardiac enzymes were elevated. The day after admission, the boy developed an increasing rash and was transferred to the PICU because of septic shock refractory to high volume resuscitation, requiring hemodynamic support with noradrenaline and noninvasive respiratory assistance. The initial testing for SARS-CoV‑2 on nasopharyngeal aspirates was negative twice; however, serum IgG antibodies were positive. Other viral and bacterial infections were excluded as the cause of the symptoms.The patient received IVIG, ASS, furosemide and methylprednisolone and the antibiotic treatment was continued. The dosage of the catecholamine could be reduced according to the patient's condition and the serially performed echocardiographic findings. The patient recovered in his general condition and was discharged from the PICU after 8 days. With the help of a detailed family history, we were able to figure out that the whole family, including the patient himself, had symptoms of a cold about 1 month earlier. Hence, SARS-CoV‑2 antibody tests carried out showed a positive result for all of them.Pediatric inflammatory multisystem syndrome (PIMS) can quickly lead to manifest shock symptoms, necessitating close monitoring. A PICU background is crucial to treat possibly occurring symptoms and complications. High-dose steroids are used therapeutically alongside supportive therapies.
S Samueli, T Wagner, C Scheibenpflug, O Janata, A Seeber, J Astl, H Kurz
Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde