Introduction: The novel SARS-CoV- 2 virus have rapidly spread in the past year throughout the world and became a pandemic. Pediatric cases of COVID-19 are often mild or asymptomatic, accounting for less than 1% of critical cases (Zimmermann P, 2020). Case presentation: We describe a case of a 13-year-old boy with COVID-19 who had an unusual presentation of the disease with hemoptysis, that subsequently developed multisystem inflammatory disease temporally associated with COVID-19, with decrease of T cell subpopulations, bacterial superinfection, necrotizing pneumonia, and spontaneous pneumothorax. This case is to provide details about less usual and very severe course of the COVID-19 disease for the clinicians who manage children with SARS-CoV-2 infection. Conclusion: Although uncommon, severe evolution of Covid-19 in pediatric patients should be taken into consideration and further clinical studies are needed asses the real impact on child health and to elucidate the best clinical and therapeutic approach.
Uncommon presentation of covid-19 in a child: association of mis-c with necrotizing pneumonia and spontaneous pneumothorax
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