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Clinical course of COVID-19 among immunocompromised children: a clinical case series

Huda El Dannan, Moza Al Hassani, Musaab Ramsi

2020BMJ Case Reports20 citationsDOIOpen Access PDF

Abstract

Infection with SARS-CoV-2 represents a great source of concern and a new threat for immunocompromised patients. Limited studies are available on COVID-19 in immunocompromised children. This case series aimed to evaluate the clinical and laboratory characteristics, management and outcomes of COVID-19 in five children immunocompromised due to different underlying conditions. All had mild symptoms or were asymptomatic at presentation. All had a benign course of illness. No changes or delays in their treatment regimens occurred, and none experienced a relapse of the original disease, developed severe COVID-19 or died. However, these cases showed a prolonged duration of virus shedding. This report suggests that immunocompromised paediatric patients may not be at a higher risk of developing severe COVID-19. However, further studies are required to elaborate on the pathogenesis of COVID-19 in this vulnerable group.

Topics & Concepts

AsymptomaticMedicineCoronavirus disease 2019 (COVID-19)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)PediatricsPresentation (obstetrics)Viral sheddingDisease2019-20 coronavirus outbreakIntensive care medicineImmunologyVirusInternal medicineInfectious disease (medical specialty)VirologySurgeryOutbreakCOVID-19 Clinical Research StudiesCOVID-19 Impact on ReproductionSARS-CoV-2 and COVID-19 Research