A 15 -year -old girl suffers from a first vocal paralysis of COVID among adolescents
His coated symptoms resolved, but the teenager had trouble breathing nine days later.
Complications with any disease can be frightening, not to mention the unpredictable. But with Covid , which is still a relatively new virus, complications can be very painful, especially when it is something that we have never seen before. Now, a 15 -year -old found himself in the "very first" category because she is the first teenager to suffer from vocal cord paralysis, according to a Press release Of the eye and ear infirmary of the Massachusetts. The case was described in a December 19 report Published in Pediatrics , which detailed the state of the adolescent "otherwise healthy".
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The 15 -year -old man went to the emergency room of Massachusetts General Hospital "with symptoms of respiratory distress," the press release said. According to the case report, she had a hard time breathing (dyspnea), with rapid breathing (tachypnea) and a noisy and acute sound during breathing (stridor).
The patient told doctors that even if her coasty symptoms (congestion, fever and fatigue) resolved after about five days, nine days after her positive test, she started to feel dyspnea. When her condition has not improved in the following days, she went to the hospital.
After an examination, the doctors discovered that she had bilateral paralysis of the vocal cord, which causes a loss of mobility in the larynx. Although there was reports of this complication in adults , This is the first case of vocal cord paralysis in a teenager after Covid.
"Given the frequency of this virus among children, this newly recognized potential complication must be taken into account in any child with a breathable complaint, speech or swallowed after a recent COVVI-19 diagnosis", principal author Danielle Reny Larrow , MD, a resident of the head of the head of Oto-Rhino-Laryngology and neck surgery in Mass Eye and Ear, in the press release. "This is particularly important because such complaints could be easily attributed to more common diagnoses such as asthma." (According to the case study, the adolescent reported history of asthma and anxiety.)
Vocal cord paralysis can be a neuropathic complication (nervous system linked to the system) of the COVVI-19 virus, according to the press release. In the case of the adolescent, the doctors identified the condition as an "downstream effect" of Covid after the tests could not identify another cause. According to the press release, the adolescent has undergone several diagnostic tests, including blood, imagery, analysis of cerebrospinal fluid and consults professionals from several medical disciplines.
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The speech therapy did not solve the patient's breathing problems, which led doctors to carry out a tracheotomy, a process where they surgically create an opening in the trachea. The teenager depended on tracheotomy for more than a year, "suggesting that this type of nervous complication may not be temporary," the statement said. However, tracheotomy was withdrawn 15 months after it - on time for certain significant events.
"She had her senior ball ball for a year and a quarter on the date of the loss of her function, and she told me that she was not going to go to the ball with her tracheotomy in place", principal author Christopher Muddy , MD, Director of the Oto-Rhino-Laryngology and Pediatric Respiratory Division, Airway, Voice and Lutting Center in Mass Eye and Ear, in the press release. "We decided to intervene so that she could obtain her graduate diploma and go to her tracheotomy of ball without a tracheotomy, which she did."
Although post-viral neuropathy is known to cause vocal vocal paralysis, and the paralysis of one or two vocal cords was reported in adults after cocoat infection, this serious complication is not provided for Perform in "young, healthy" patients. According to study authors, with more than 15 million reports of infections with a pediatric covid, it is not a case that should be ignored.
"Having a young, healthy and dynamic high school, suddenly loses one of their important cranial nerves, so that they cannot breathe is very unusual and have taken an analysis," said Hartnick. "The fact that children can really have long-term neurotrophic effects of COVID-19 is something that is important for the wider pediatric community to know in order to treat our children well."
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