Publication details

Pediatric neurovascular complication of SARS-CoV-2 infection: A single Center Case-Series.

Authors

MUŽLAYOVÁ Patrícia ŠPANĚLOVÁ Klára SKŘÍŠOVSKÁ Tamara HORÁK Ondřej ŠENKYŘÍK Jan SEEHOFNEROVÁ Anna HOMOLA Lukáš KLUČKA Jozef BLATNÝ Jan OŠLEJŠKOVÁ Hana DANHOFER Pavlína

Year of publication 2023
Type Conference abstract
MU Faculty or unit

Faculty of Medicine

Citation
Description SARS-CoV-2 virus causing Coronavirus disease 2019 (COVID-19) like other coronaviruses mainly targets the respiratory system. In symptomatic patients, the most common manifestation is fever, fatigue, cough, and headache. Severe forms can present with pneumonia, acute respiratory distress syndrome, acute cardiac dysfunction, and multiorgan failure. Some studies have indicated an association between COVID-19 and neurovascular conditions. These studies report mainly adult patients with a severe course of the infection. SARS-CoV-2 infects the host through its CoV spike glycoprotein, which binds to the angiotensin-converting enzyme 2 (ACE2) receptor, which is expressed in the lungs, heart, and kidneys and in endothelial cells. In general, pathophysiological processes after COVID-19 infection can cause vascular affliction and microvascular dysfunction and coagulation abnormalities. It is broadly believed that children usually have a mild case of SARS-CoV-2 infection. However, in connection with the prolong COVID-19 pandemic, we are more likely to see health conditions that have rarely been seen before and that share a common history of recent COVID-19. These cases are intended to present that the course of this infection may not always be benign and a longer period will be needed to assess the consequences of the infection. Further studies will certainly be needed to address the pathophysiological basis in an effort to ensure its optimal diagnostics and treatment in children. This article presents a case series of 3 children who were diagnosed with cerebrovascular disease and whose common denominator was current or previous infection with SARS-CoV-2

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