Vietnam: Severe liver and brain damage in child after Covid-19 infection

Asia, BA.1, BA.2, BA.2.3, Children, Coronavirus, Health, Hepatitis, Hospitalization, Infection, Mental Heath, MIS-C PIMS, Omicron, Side Effects, Symptoms, Vietnam

A 13-year-old boy just recovered from Covid-19 suddenly returned to fever, red skin, red eyes, the doctor diagnosed multi-system inflammatory syndrome, brain damage.

Patient had mild fever, cough, sore throat for 4 days. Two days later, the baby had a high fever, fatigue, poor appetite, was hospitalized in Tra Vinh in a state of shock, rapid pulse, rapid breathing, positive Covid-19 test. The doctor diagnosed septic shock, sepsis, severe pneumonia, gave oxygen, gave anti-shock fluids and vasopressors, and transferred him to City Children’s Hospital.

On April 25, doctor Nguyen Minh Tien, deputy director of the City Children’s Hospital, said that blood tests showed that the child had an increased inflammatory response, increased liver enzymes, and liver damage.

The doctors provided respiratory support, anti-inflammatory, antiviral, antibiotics, anticoagulants, electrolyte adjustment… After nearly two weeks of treatment, the baby’s condition gradually improved, the inflammatory indicators improved, and laboratory tests showed that the baby’s condition improved gradually. Covid-19 is negative.

Immediately after that, the baby had a fever, red eyes, red skin, showed signs of movement coordination disorder, staggered, difficult to keep balance, complained of headache, inflammatory reaction test in the blood increased again. The patient had a cerebrospinal fluid puncture, brain MRI, and brain damage was recorded.

According to Dr. Tien, this is a rare case of a child with Covid-19 having severe liver damage and then developing multisystem inflammatory syndrome with neurological damage. Most cases of multisystem inflammatory syndrome occur in children with Covid-19 who are asymptomatic or have mild transient symptoms.

From June 2021 to March 2022, Ho Chi Minh City recorded 315 children with post-Covid-19 multisystem inflammatory syndrome, out of more than 71,000 F0 children. This is a new, uncommon but dangerous disease that occurs only in children, with inflammation of various organs, including the heart, lungs, kidneys, brain, skin, eyes or digestive system organs in children with a history of Covid-19. report  (in Vietnamese)



That timeline once again:

  • First signs – mild fever, sore throat, positive Covid test
  • Two days later – high fever, fatigue, poor appetite, hospitalized
  • Days later – increased liver enzymes, severe liver damage
  • Two weeks after treatment – condition improves, negative Covid test
  • Immediately afterwards – fever, red eyes, red skin, movement coordination disorder, inflammatory reaction test in the blood increased again, brain damage are showing that the most common Covid variants in Vietnam are BA.2, BA.2.3, and BA.2.3.2.



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** This post was originally published on May 8, 2022 **