A case of seckel syndrome with human bocavirus infection and respiratory failure

Human Bocavirüs(HBoV), Parvovorüs ailesinin yeni bir üyesidir. Burada, Seckel sendromu tanısı ile izlenen, solunum sıkıntısı nedeniyle acil servise başvuran ve çocuk yoğun bakım ünitesine yatırılan 18 aylık erkek hasta sunulmuştur. Oksijen saturasyonu ,rezervuarlı geri solumasız maske ile %93'tü. Solunum yetmezliği nedeniyle hasta entübe edilerek mekanik ventilatörde solutuldu. Nazofarngeal aspirat örneğinde PCR yöntemi ile HBoV izole edildi. Antimikrobiyal ve antiviral tedavi başlandı. İzlemde hastanın kan basıncı düştü, dopamin infüzyonu başlandı. Hipotansiyonun devam etmesi üzerine tedaviye noradrenalin eklendi. Kan basıncı düşüklüğü devam eden hasta yatışının 4. gününde kaybedildi. Bu olguyu sunmaktaki amacımız; özellikle 5 yaşın altında solunum yetmezliği olan hastalarda Human Bocavirüs enfeksiyonlarının da hatırlanması gerektiğini, literatürde nadir bir durum olarak belirtilmesine karşın, yoğun bakım ihtiyacının olabileceğini vurgulamaktır

Human bocavirüs enfeksiyonu olan ve solunum yetmezliği gelişen seckel sendromu olgusu

Human bocavirus (HBoV) is a newly described member of the family parvovirus. We report an 18 -month-old male patient under observation with a diagnosis of Seckel syndrome and presenting to our emergency department with respiratory distress was admitted to the pediatric intensive care unit. Oxygen saturation with non-rebreather mask was 93%. The patient was intubated due to respiratory insufficiency and respirated on a mechanical ventilator. HBoV was isolated in a nasopharyngeal specimen usıng PCR. Antimicrobial and antiviral theraoy was started. The patient's blood pressure fell, dopamine infusion was started. Hypotension persisted, and noradrenalin was added to treatment. Hypotension persisted, and the patient died on the 4th day of hospitalization. The purpose of this case report is to emphasize the need to remember HBoV infections in cases of respiratory failure, particularly under the age of 5, and that although the condition is rare in the literature, intensive care may still be required

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