Autoimmune hemolytic anemia in a pediatric patient with SARSCoV2 infection: a case report in Medellín, Colombia

Authors

  • Sara Isabel Norena Gomez Universidad CES, Colombia
  • Maria Adelaida Atuesta Londoño Universidad CES, Colombia
  • Andres Felipe Escobar González Hospital Pablo Tobón Uribe, Colombia

DOI:

https://doi.org/10.14482/sun.40.01.787.658

Keywords:

COVID-19, Autoimmune Hemolytic Anemia, Rituximab, Intravenous Immune Globulin, Autoimmune Response.

Abstract

Background. The coronavirus disease 2019 (COVID-19) is caused by SARS-CoV-2, first reported on November 2019 in Wuhan, China. COVID-19 has a widely variable presentation and has been considered more severe in adults than in children. Many autoimmune disorders have been associated with this disease. Autoimmune hemolytic anemia (AIHA) is rare in children with an estimated 0.4 per in 100,000 person-years.

Clinical case. We report the case of a 15-year-old male Hispanic patient witch SARSCoV2 infection, with autoimmune hemolytic anemia requiring treatment with corticosteroids, Rituximab, Erythropoietin and Filgrastim due to persistent hemolysis.

Conclusions. AIHA associated with SARS-CoV-2 in the pediatric population is a rare condition. High clinical suspicion is required to start management quickly and avoid major complications.

Author Biographies

Sara Isabel Norena Gomez, Universidad CES, Colombia

Médica general, Universidad CES. Especialista en Pediatría, Universidad CES. Médica
pediatra, Clínica Las Américas AUNA, Medellín (Colombia). sarisn15@gmail.
com. ORCID: https://orcid.org/0000-0002-8208-6906.

Maria Adelaida Atuesta Londoño, Universidad CES, Colombia

General Doctor, CES University 2017

Specialist in Pediatrics, CES University, 2022

Professor of Pediatrics, CES University

Pediatrician at the Santa Ana Children's Hospital

Medellin - Colombia

Andres Felipe Escobar González, Hospital Pablo Tobón Uribe, Colombia

Médico y cirujano, Universidad Libre, Cali (Colombia). Especialista en Pediatría,
Universidad de Antioquia, Medellín (Colombia). Pediatra hematólogo.
Universidad Nacional Autónoma de México, México D.F. Pediatra Hematólogo,
Hospital Pablo Tobón Uribe, Medellín (Colombia). pipeescobar@gmail.com.
ORCID: https://orcid.org/0000-0001-9846-6615.

Published

2024-02-29

How to Cite

Norena Gomez, S. I., Atuesta Londoño, M. A. ., & Escobar González, A. F. (2024). Autoimmune hemolytic anemia in a pediatric patient with SARSCoV2 infection: a case report in Medellín, Colombia. Salud Uninorte, 40(1), 305–314. https://doi.org/10.14482/sun.40.01.787.658

Issue

Section

Clinic Case