RT Journal Article
SR Electronic
T1 COVID-19 pneumonia successfully managed with high-flow nasal cannula in a 15-year-old boy
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e239682
DO 10.1136/bcr-2020-239682
VO 14
IS 4
A1 GAP van Gorp
A1 PJLT Sanders
A1 DA van Waardenburg
A1 Monique Engel
YR 2021
UL http://casereports.bmj.com/content/14/4/e239682.abstract
AB We report an otherwise healthy, fully immunised 15-year-old boy who was transferred to our Pediatric intensive care unit with 4 days of fever, dry cough, increased work of breathing and impending respiratory failure. Two days prior, amoxicillin/clavulanic acid was prescribed for lower airway symptoms resembling pneumonia. PCR of the nasopharyngeal swab revealed an active COVID-19 infection (Ct 19). The CT scan showed significant ground-glass opacities highly associated with COVID-19 (COVID-19 reporting and data system 4). Antibiotics were continued and chloroquine was given for 5 days. High-flow nasal cannula (HFNC) was started as respiratory support therapy with rapid decrease of tachypnoea and oxygen demand. HFNC was successfully stopped after 7 days. The patient made full clinical recovery. This case illustrates HFNC as a successful respiratory support therapy in a paediatric patient with an active COVID-19 pneumonia.