Co-infections and COVID-19 in Children: An Observational Study

Authors : Uzzal Kumar Ghosh; Madhabi Baidya; Azmeri Sultana; Nobo Krishna Ghosh; M. F. Abiduzzaman; Joairya Yasmeen Bushra; Md. Maniruzzaman Nayan

Volume/Issue : Volume 5 - 2020, Issue 8 - August

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DOI : 10.38124/IJISRT20AUG156

 Background: Acute illness is caused by bacteria, viruses, and parasites. Co-infection is the simultaneous infection of a host by multiple pathogens resulting in a delay in diagnosis and bad prognosis. Currently, coronavirus infection is a pandemic and global health concern. Coronavirus infection in children with concomitant other infections is rarely reported in our country. This study was performed to find out the coronavirus infection associated with recent illnesses to minimize morbidity and mortality.  Methodology: The study was done at Dr. M R Khan Shishu Hospital & ICH from April 2020 to June 2020. Patients with fever, rash, vomiting, diarrhea, cough, respiratory distress, dysuria, convulsion, jaundice, and other symptoms; admitted in the hospital were taken for this study. The diagnosis was made by clinical symptoms plus investigations accordingly and appropriate treatment was given for recent illnesses. During follow up these cases; there was the persistence of symptoms and some other new features appeared. These arouse our suspicion that there might be associated with coronavirus infection in this pandemic.  Results: Thirty cases were taken co-infection with COVID- 19. Age was found 4 months to 8 years. The male-female ratio was 1.5:1. Typhoid fever with COVID-19 12(40%), Bacterial meningitis with COVID-19 6(20%), UTI with COVID-19 3(10%), Paratyphoid fever with COVID-19 2(6.7%), Typhus/ Rickettsial fever with COVID-19 2(6.7%), HAV infection with COVID-192(6.7%), HEV infection with COVID-19 1 (3.3%), Septic arthritis with COVID-19 1 (3.3%), bacterial pneumonia with COVID- 19 1 (3.3%) were found. RT-PCR was positive for COVID-19 30(100%), blood culture was positive for Salmonella Typhi 4(13.3%), Widal test was reactive (high rising titer) 8(26.7%), Latex agglutination test was positive for bacterial meningitis 6(20%), urine culture was positive for E.coli 3(10%), blood culture was positive for Salmonella Para typhi A 2(6.7%), Weil-Felix reaction was found (high rising titer) 2(6.7%), Anti HAV IgM was positive 2(6.7%), Anti HEV IgM was positive 1(3.3%), Blood culture was positive (staph. aureus) for septic arthritis 1(3.3%), blood culture was positive (strep. pneumoniae) for bacterial Pneumonia 1(3.3%).  Conclusion: This study showed that COVID-19 in Bangladeshi children was found associated with co-infections. So, co- infection with COVID-19 patients should be closely monitored and managed accordingly.

Keywords : Co-infections, COVID-19.


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