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KMID : 1040320230300030180
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Pediatric Infection & Vaccine
2023 Volume.30 No. 3 p.180 ~ p.187
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The Case of Successful Recovery From Severe Encephalitis in a COVID-19 Pediatric Patient in Korea
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Kim Eun-Jeong
Ki So-Hyun
Jung Hye-Na
Yoon Yoon-Sun
Eun Baik-Lin
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Abstract
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In Korea, >90% of children and adolescents aged <19 years have been infected with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) since 2020. Among confirmed cases of pediatric coronavirus disease 2019 (COVID-19), 40?60% of patients developed neurologic symptoms such as seizures, headache, and encephalitis. Herein, we report the case of a 3-year-old female patient with SARS-CoV-2 infection who presented with seizures and altered consciousness and was diagnosed with COVID-19 encephalitis. The patient recovered after treatment with intravenous immunoglobulin, high-dose steroids, anti-seizure drugs, and an anti-viral agent. She was discharged after regaining the ability to speak words and walk alone on hospital day 39. Complete recovery was observed at the 1-year follow-up. The findings in this case suggest that early detection and active intervention is associated with better outcomes in patients with COVID-19 encephalitis.
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KEYWORD
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COVID-19, Encephalitis, Seizure, Child
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