Bulging fontanelle as a sign of COVID-19 infection in infant A case report

<h3>Rationale</h3><p dir="ltr">Coronavirus disease 2019 (COVID-19) is a new viral infection caused by the severe acute respiratory syndrome coronavirus 2. Fortunately, mortality rates in children are very low compared to those in the elderly, and 80% of children have mild...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Mohammed Al-Amri (16713411) (author)
مؤلفون آخرون: Mahmoud Alhandi Omar Helal (16685388) (author), Suliman Ahmad (16797463) (author), Mohamad Alaido (16797467) (author), Ferhad Housein (16797470) (author), Magda Barkat (16797473) (author)
منشور في: 2022
الموضوعات:
الوسوم: إضافة وسم
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author Mohammed Al-Amri (16713411)
author2 Mahmoud Alhandi Omar Helal (16685388)
Suliman Ahmad (16797463)
Mohamad Alaido (16797467)
Ferhad Housein (16797470)
Magda Barkat (16797473)
author2_role author
author
author
author
author
author_facet Mohammed Al-Amri (16713411)
Mahmoud Alhandi Omar Helal (16685388)
Suliman Ahmad (16797463)
Mohamad Alaido (16797467)
Ferhad Housein (16797470)
Magda Barkat (16797473)
author_role author
dc.creator.none.fl_str_mv Mohammed Al-Amri (16713411)
Mahmoud Alhandi Omar Helal (16685388)
Suliman Ahmad (16797463)
Mohamad Alaido (16797467)
Ferhad Housein (16797470)
Magda Barkat (16797473)
dc.date.none.fl_str_mv 2022-10-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1097/MD9.0000000000000253
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Bulging_fontanelle_as_a_sign_of_COVID-19_infection_in_infant_A_case_report/23790762
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Paediatrics
bulging fontanelle
Covid-19 in children
neurological signs of covid-19
dc.title.none.fl_str_mv Bulging fontanelle as a sign of COVID-19 infection in infant A case report
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Rationale</h3><p dir="ltr">Coronavirus disease 2019 (COVID-19) is a new viral infection caused by the severe acute respiratory syndrome coronavirus 2. Fortunately, mortality rates in children are very low compared to those in the elderly, and 80% of children have mild infections or are asymptomatic. Despite this, neurological manifestations in younger children are not always documented because of difficulties arising from poorly developed communication that makes diagnosis more difficult and subjective, and the neurological features are neurocognitive symptoms. Consequently, data on the neurological manifestations in infants are scarce in the medical literature. Therefore, in this case report, we describe a new sign of coronavirus infection in infants.</p><h3>Patient concerns</h3><p dir="ltr">A 6-month-old female with unusual presentation of excessive crying, irritability, and bulging anterior fontanelle, without fever or other manifestations, had a history of COVID-19 infection 3 days ago.</p><h3>Diagnosis</h3><p dir="ltr">Benign intracranial hypertension associated with COVID-19 was diagnosed based on the clinical presentation and ruling out other causes by laboratory investigations and radiological imaging.</p><h3>Interventions</h3><p dir="ltr">The patient was treated empirically with intravenous antibiotics.</p><h3>Outcomes</h3><p dir="ltr">The patient was discharged from the emergency center with an outpatient follow-up. At the time of discharge, she had reassuring vital signs and a normal physical examination. At the follow-up visit after 1 week, no clinical symptoms were reported and the physical examination results were normal.</p><h3>Lesson</h3><p dir="ltr">Pediatricians should be vigilant regarding the association between COVID-19 and bulging fontanelles.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine, Case Reports and Study Protocols<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://journals.lww.com/md-cases/Fulltext/2022/10000/Bulging_fontanelle_as_a_sign_of_COVID_19_infection.8.aspx" rel="noreferrer" target="_blank">https://journals.lww.com/md-cases/Fulltext/2022/10000/Bulging_fontanelle_as_a_sign_of_COVID_19_infection.8.aspx</a></p>
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network_acronym_str Manara2
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spelling Bulging fontanelle as a sign of COVID-19 infection in infant A case reportMohammed Al-Amri (16713411)Mahmoud Alhandi Omar Helal (16685388)Suliman Ahmad (16797463)Mohamad Alaido (16797467)Ferhad Housein (16797470)Magda Barkat (16797473)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesPaediatricsbulging fontanelleCovid-19 in childrenneurological signs of covid-19<h3>Rationale</h3><p dir="ltr">Coronavirus disease 2019 (COVID-19) is a new viral infection caused by the severe acute respiratory syndrome coronavirus 2. Fortunately, mortality rates in children are very low compared to those in the elderly, and 80% of children have mild infections or are asymptomatic. Despite this, neurological manifestations in younger children are not always documented because of difficulties arising from poorly developed communication that makes diagnosis more difficult and subjective, and the neurological features are neurocognitive symptoms. Consequently, data on the neurological manifestations in infants are scarce in the medical literature. Therefore, in this case report, we describe a new sign of coronavirus infection in infants.</p><h3>Patient concerns</h3><p dir="ltr">A 6-month-old female with unusual presentation of excessive crying, irritability, and bulging anterior fontanelle, without fever or other manifestations, had a history of COVID-19 infection 3 days ago.</p><h3>Diagnosis</h3><p dir="ltr">Benign intracranial hypertension associated with COVID-19 was diagnosed based on the clinical presentation and ruling out other causes by laboratory investigations and radiological imaging.</p><h3>Interventions</h3><p dir="ltr">The patient was treated empirically with intravenous antibiotics.</p><h3>Outcomes</h3><p dir="ltr">The patient was discharged from the emergency center with an outpatient follow-up. At the time of discharge, she had reassuring vital signs and a normal physical examination. At the follow-up visit after 1 week, no clinical symptoms were reported and the physical examination results were normal.</p><h3>Lesson</h3><p dir="ltr">Pediatricians should be vigilant regarding the association between COVID-19 and bulging fontanelles.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine, Case Reports and Study Protocols<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://journals.lww.com/md-cases/Fulltext/2022/10000/Bulging_fontanelle_as_a_sign_of_COVID_19_infection.8.aspx" rel="noreferrer" target="_blank">https://journals.lww.com/md-cases/Fulltext/2022/10000/Bulging_fontanelle_as_a_sign_of_COVID_19_infection.8.aspx</a></p>2022-10-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1097/MD9.0000000000000253https://figshare.com/articles/journal_contribution/Bulging_fontanelle_as_a_sign_of_COVID-19_infection_in_infant_A_case_report/23790762CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/237907622022-10-01T00:00:00Z
spellingShingle Bulging fontanelle as a sign of COVID-19 infection in infant A case report
Mohammed Al-Amri (16713411)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Paediatrics
bulging fontanelle
Covid-19 in children
neurological signs of covid-19
status_str publishedVersion
title Bulging fontanelle as a sign of COVID-19 infection in infant A case report
title_full Bulging fontanelle as a sign of COVID-19 infection in infant A case report
title_fullStr Bulging fontanelle as a sign of COVID-19 infection in infant A case report
title_full_unstemmed Bulging fontanelle as a sign of COVID-19 infection in infant A case report
title_short Bulging fontanelle as a sign of COVID-19 infection in infant A case report
title_sort Bulging fontanelle as a sign of COVID-19 infection in infant A case report
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Paediatrics
bulging fontanelle
Covid-19 in children
neurological signs of covid-19