Evidence map›Paper›PMID 34812530›Full record

ArticleJournal of medical virology2022

Severe neonatal COVID-19: Challenges in management and therapeutic approach.

Concetta Marsico, Maria Grazia Capretti, Arianna Aceti, Caterina Vocale, Filomena Carfagnini, Carla Serra, Caterina Campoli, Tiziana Lazzarotto, Luigi Corvaglia

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Journal of medical virology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Concetta MarsicoDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Maria Grazia CaprettiNeonatal Intensive Care Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0002-0124-0829
Arianna AcetiDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Caterina VocaleUnit of Clinical Microbiology, Regional Reference Center for Microbiological Emergencies (CRREM), IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Filomena CarfagniniRadiology Unit - Pediatric Division, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Carla SerraDepartment of Medical and Surgical Sciences, Interventional, Diagnostic and Therapeutic Ultrasound Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Caterina CampoliDivision of Infectious Diseases, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy, Bologna, Italy.
Tiziana LazzarottoDepartment of Specialized, Experimental and Diagnostic Medicine, Microbiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Bologna, Italy.
Luigi CorvagliaDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Azienda USL di Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the etiological agent of coronavirus disease 2019 (COVID-19), may manifest as a life-threatening respiratory infection with systemic complications. Clinical manifestations among children are generally less severe than those seen in adults, but critical cases have increasingly been reported in infants less than 1 year of age. We report a severe case of neonatal COVID-19 requiring intensive care and mechanical ventilation, further complicated by a multidrug-resistant Enterobacter asburiae super-infection. Chest X-rays, lung ultrasound, and chest computed tomography revealed extensive interstitial pneumonia with multiple consolidations, associated with persistent increased work of breathing and feeding difficulties. SARS-CoV-2 RNA was detected in respiratory specimens and stools, but not in other biological samples, with a rapid clearance in stools. Serological tests demonstrated a specific SARS-CoV-2 antibody response mounted by the neonate and sustained over time. The therapeutic approach included the use of enoxaparin and steroids which may have contributed to the bacterial complication, underlying the challenges in managing neonatal COVID-19, where the balance between viral replication and immunomodulation maybe even more challenging than in older ages.

Indexed as

COVID-19Critical CareEnterobacterEnterobacteriaceae InfectionsFemaleHumansInfant, NewbornLungNeonatal SepsisSARS-CoV-2SuperinfectionTreatment OutcomeCOVID-19interstitial pneumonianeonatal sepsisneonatessevere acute respiratory syndrome 2

Identifiers

PMID34812530
PMCPMC9011600
OpenAlexW3216837721

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.