COVID-19 Pneumonia in a 3-month-old Infant leading to Post-COVID-19 Interstitial Lung Disease

  • Farah Meraj Khanam Senior Resident, Department of Paediatrics, Lady Hardinge Medical College, Kalawati Saran Children’s Hospital, New Delhi, India.
  • Shikhar Garg Postgraduate Resident, Department of Paediatrics, Lady Hardinge Medical College, Kalawati Saran Children’s Hospital, New Delhi, India.
  • Harish K Pemde Director, Professor, Department of Paediatrics, Lady Hardinge Medical College, Kalawati Saran Children’s Hospital, New Delhi, India.
Keywords: COVID-19 Pandemic, Severe COVID, Infant, Post-COVID-19 Interstitial Lung Disease, COVID-19 Serology

Abstract

Background: COVID-19 disease is generally considered to be mild in infants and young children. Although there are reports of severe disease being caused due to COVID-19 infection, the incidence of interstitial lung disease post-COVID-19 is extremely rare in infants. We present to you a rare case report of post-COVID-19 interstitial lung disease in a male child of 15 months of age.
Case Presentation: A male child of 15 months, with chief complaints of fever since one week, and cough and fast breathing since two days, was admitted. The patient was a well-thriving child till 3 months of age after which the child was admitted twice for similar complaints. HRCT chest was done at three and a half months of age which was suggestive of COVID-19. At fifteen months of age, the child was admitted to our hospital with similar complaints. He was investigated for recurrent respiratory infections, and diseases like cystic fibrosis, primary immunodeficiency, tuberculosis etc. were ruled out. However, COVID-19 serology was positive and the child was diagnosed with post-COVID-19 interstitial lung disease.
Conclusion: In our knowledge, there has not been any case where COVID-19 pneumonia has led to chronic lung disease in a 15-months-old child. Also, in this case, the COVID-19 antibodies were persisting even after one year of active disease. However, the common consensus regarding the duration for which antibodies persist after COVID-19 disease is still lacking. After the occurrence of this pandemic, while making a diagnosis, emphasis should be given on the patient’s history regarding infection and contact with COVID-19 positive individuals.

How to cite this article:
Khanam FM, Garg S, Pemde HK. COVID-19 Pneumonia in a 3-month-old Infant leading to Post-COVID-19 Interstitial Lung Disease. Postgrad J Pediatr Adol Med. 2022;1(1):49-51.

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Published
2022-04-02