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Universidad Ricardo Palma

2021

Pediatrics

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Dengue With Signs Of Alarm And Leptospirosis In A Pediatric Patient With Covid-19, Mayron Nakandakari Gomez, Hamilton Marín-Macedo, Raúl Seminario-Vilca Mar 2021

Dengue With Signs Of Alarm And Leptospirosis In A Pediatric Patient With Covid-19, Mayron Nakandakari Gomez, Hamilton Marín-Macedo, Raúl Seminario-Vilca

Revista de la Facultad de Medicina Humana

Dengue and Leptospirosis are endemic metaxenic diseases that affect tropical and subtropical areas, mostly in underdeveloped countries. In addition to this, the COVID-19 pandemic is causing a great deal of damage to both the population and the health level. This is the case of a 13-year-old patient who had fever, gingival and intermenstrual bleeding, abdominal pain and shortness of breath. She had SARS-CoV-2 IgM and IgG positive rapid test, and positive serology NS1 for Dengue and IgM for Leptospira. In addition, non-contrast pulmonary tomography showed areas of consolidated and frosted glass at the base level, as well as cysturitis. Diagnoses …


Iga (Henoch Schönlein Purpura) Vasculitis In A Pediatric Patient With Covid-19 And Strongyloidiasis, Mayron Nakandakari Gomez, Hamilton Marín Macedo, Raúl Seminario Vilca Mar 2021

Iga (Henoch Schönlein Purpura) Vasculitis In A Pediatric Patient With Covid-19 And Strongyloidiasis, Mayron Nakandakari Gomez, Hamilton Marín Macedo, Raúl Seminario Vilca

Revista de la Facultad de Medicina Humana

Vasculitis is a rare disease in children, with IgA Vasculitis being its most common presentation. One condition that has been associated with the development of vasculitis is the invasion of the vascular endothelium by Strongyloides stercoralis in cases of hyperinfestation. Another condition that is not yet under-researched is the likely association of IgA vasculitis-like processes with SARS-CoV-2 and COVID-19 infection itself. It is presented the case of a four-year-old patient who healed with palpable purplish lesions to lower limb predominance, acute abdominal pain, and episodes of high digestive hemorrhage. Initially listed as a possible severe dengue and leptospirosis, but clinically …