Although young children with Covid-19 generally experience mild illness, the omicron coronavirus variant has led to more children being admitted with Covid-19 in recent months at a rapid rate. five times higher than with the Delta variant.
Nu en new paper from researchers at Boston Children’s Hospital have described 75 cases of croup in children with Covid-19, a previously uncommonly reported manifestation of Covid-19 in this age group. Tickling is a common disease in infants and toddlers characterized by a bark-like cough and sometimes noisy, high-pitched breathing. It can be caused by a variety of respiratory viruses and causes swelling around the voice box and trachea and bronchi leading to the lungs.
Ticks are generally mild in children with less than 5% of children to be admitted before the pandemic. Worryingly, among the 75 patients with tick-borne Covid-19 infection in the new study, 12% of children needed hospital treatment, while just under half of them needed intensive care. All the affected children in the newspaper were under 5 years of age and therefore not yet eligible for Covid-19 vaccination.
Although the information on croup cases was collected between March 2020 and January 2022, 80% of the cases in the study occurred during a period when omicron was the dominant coronavirus variant, and the study authors suggest that omicron may be more likely to cause cross-examination. than previous variants.
“There was a very clear demarcation from the time omicron became the dominant variant until we began to see an increase in the number of croup patients,” said Ryan Brewster, MD, first author of the report and first-year resident of the Boston Combined Pediatrics Program at Boston Children’s Hospital and Boston Medical Center.
There is some evidence that the omicron variant is more likely to infect the upper respiratory tract than other coronavirus variants, and researchers suggest that this may be one reason why they are seeing more cases of omicron-induced ticks. variants. Almost all children with Covid-19 and croup were treated with dexamethasone, an old steroid medication commonly prescribed to people with Covid-19 who are sick enough to require treatment. The children who were admitted also received adrenaline via a nebulizer, and fortunately all the children survived the study.
“The relatively high hospitalization rate and the large number of drug doses our Covid-19 crippled patients needed suggest that Covid-19 may cause more severe cross-talk compared to other viruses,” Brewster said, indicating that further research is needed for to determine the best treatment options for children with ticks caused by SARS-CoV2.
The authors urge parents to be aware that although croup can be caused by many different viruses, parents should consider testing for Covid-19 if their child develops croup.