COVID 19 PNEUMONIA AND IMMUNODEFICIENCY IN AN ADOLESCENT
Covid 19 infection in children in most cases is asymptomatic or children develop a milder disease. Most evidence suggests that children have a lower incidence of severe acute respiratory syndrome due to coronavirus 2 infections (SARS-CoV-2). We represent a case report of COVID-19 infection in a previously healthy, 17-year-old girl, with pneumonia, fever over 38c and hypoxia. Obesity was a risk factor for the more severe clinical course in this case. Due to the prolonged elevated temperature, hyposaturation and consequently the long-term need for oxygensupport, an additional examination was performed, and hypoagammaglobulinemia wasdiagnosed. This patient had one of the highest CT scores recorded , 19 out of 25. In addition to oxygen supplementation and systemic corticosteroids, the adolescent also received immunoglobulin replacement therapy. The patient recovered and was released from the hospital on the 23rd day in order to continue the treatment of the newly discovered hypogammaglobulinemia in the regional health center.
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