Recurrent ventricular fibrillation as a complication of pediatric Covid-19: a case report

Abstract

Background. Coronavirus disease 2019 (Covid-19) is infrequently associated with severe complications in children. A recent observation has linked Covid-19 to recurrent ventricular fibrillation in pediatric patients. Case report. We present a distinct case of severe Covid-19 in an 11-year-old male child who was previously healthy but obese. The patient experienced recurrent fibrillation as a complication and underwent multiple defibrillation shocks, ultimately surviving the ordeal. Early on in the management of refractory ventricular fibrillation, the patient was administered amiodarone intravenously. Upon diagnosis, he was found to have pneumonia and hypoxemic respiratory failure, necessitating supplemental oxygen through intubation due to hypoxia. Given the rapid progression of his pneumonia, a treatment regimen including remdesivir and dexamethasone was initiated. Conclusions. This case study could be utilized as a valuable point of reference for healthcare providers treating young patients with Covid-19. It is essential to apply established treatment methods for pediatric Covid-19 to mitigate risks of complications like ventricular fibrillation in children.

Keywords

• covid-19
• children
• ventricular fibrillation