Journal
TRANSFUSION AND APHERESIS SCIENCE
Volume 60, Issue 1, Pages -Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.transci.2020.102956
Keywords
COVID-19; COVID-19 convalescent plasma; COVID-19 in paediatrics; COVID-19 pneumonia; COVID-19 with acute lymphoblastic leukemia
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Most children with COVID-19 have mild infections, but those with cancer are considered a high-risk group for all infections. Currently, there are no established treatment guidelines for severe COVID-19 in children, with treatment often guided by adult recommendations lacking evidence-based support.
The natural history of COVID-19 infection in children is still evolving as the pandemic unfolds. Few cases of severe and often fatal COVID-19 have been reported although the infection is mild in the large majority. Children with cancers are recognised as a high risk group for all infections. Since there aren?t any definite treatment guidelines established in children with severe COVID, treatment is guided by adult recommendations which too are often not evidence based. We report the case of a 4-year-old girl with severe COVID-19 associated pneumonia who presented to us as febrile neutropenia. The use of convalescent plasma along with steroids and IVIG showed dramatic results in this child and she recovered without the need for any specific treatment. This is highlighted as one of the earliest cases that is reporting the use of convalescent plasma in a child; the first ever in a child with underlying malignancy.
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