We present a child with a clear and classic COVID-19 symptomatic picture that rapidly progressed to sepsis with persistent hypertension. This patient, a five-year-old Hispanic female child was brought to our emergency department on March 21, 2020, with fever, productive cough, shortness of breath with chest tightness, abdominal pain, and diarrhea for a week. Her condition deteriorated rapidly, and she developed sepsis within 24 hours, needing intensive care unit admission and ventilator support. She tested negative for COVID-19 Biofire ® nucleic acid tests (BioFire Diagnostics, Salt Lake City, Utah 84108 USA); however, she was recently exposed to COVID-19 cases at her school. This case highlights the importance of a high index of COVID-19 suspicion in children in the endemic areas despite negative COVID-19 tests for keeping a watchful eye to prevent sudden deterioration and unexpected complications.
【저자키워드】 COVID-19, 2019 novel coronavirus disease, children, Sepsis, hypertension, 【초록키워드】 intensive care, cough, abdominal pain, diarrhea, Deterioration, symptomatic, nucleic acid test, Chest, Fever, female, Patient, complications, Utah, Admission, Hispanic, COVID-19 test, 24 hours, Support, Shortness of breath, Salt Lake City, ventilator, COVID-19 case, Prevent, highlight, endemic area, tested, progressed, 【제목키워드】 clinical, Rapid, persistent, crisis, recent,