Thairath Online
8 Apr 2022 08:19
Pediatric brain doctor reveals case of child infected with COVID-19 No underlying disease, 2 had severe brain symptoms. finally died Advise on the risks
On April 8, 2022, it was reported that Dr. Kulset Sakphichaisakul medical professional Neurology, Epilepsy, Pediatrics-Neurological Section Queen Sirikit National Institute of Child Health Posting a message on Facebook, Kullasate Sakpichaisakul said that he hesitated for a long time whether to post about the coronavirus. Because before the previous wave of outbreaks, admit that as a child brain doctor I rarely look at covids because children are less infected. and often have no brain symptoms can only follow reports from foreign countries
until the omikron season began to receive consultations for neurological symptoms more often in all channels from all directions I was able to take care of it until 2 weeks ago. Consulted for 2 cases of children from different provinces (6 and 8 years old) who had no underlying disease. Severe cerebral symptoms are fever, convulsions, and the same rapid and rapid drowsiness within hours to days.
After consulting, I asked to see a superficial photograph of my brain. There may not be much (the language of doctors is a swollen brain patch), but when I look at the pictures myself. As expected, there is a lesion in a specific location of the brain, the thalamus on both sides, which if, as a pediatric brain doctor It was diagnosed with “acute necrotizing encephalopathy (ANE)” which is common in many viruses, especially influenza. The pathogenesis of the disease is not yet known. But from the information we have, it is “cytokine storm”.
Unfortunately, these two children couldn’t be saved because the disease was really serious. because the brain has lost all its functions (Personally, I’m still not sure how much early diagnosis will help.) Finally, I think this post might help increase awareness for both pediatricians. and the general public about COVID and severe brain symptoms
I would like to reiterate that this severe symptom is very rare when compared to the total number of infections. but to increase awareness
For the doctor, if you have symptoms such as fever, convulsions, along with depression *repeat that sleepiness and sleep a lot*, this will be the predominant symptom in this condition. Unlike most people who have a fever and convulsions where after a seizure will regain consciousness Anticonvulsants are usually safe to control seizures. If the child has symptoms of lethargy Ask your doctor to do a brain scan and take a closer look at the location of the two thalamus (as in the picture on the right). There will be small black dots on both sides) to diagnose this condition and seek medical advice immediately. because of repatriation should be slow during this period
for the general public I can only hurry to take them to vaccinate the children. For people who have not been vaccinated Current evidence confirms that vaccines can reduce virulence.
Hope everyone stay safe from covid.
Thank you all for trusting in consulting.
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