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Erschienen in: European Journal of Pediatrics 1/2021

13.07.2020 | COVID-19 | Original Article Zur Zeit gratis

Pediatrician, watch out for corona-phobia

verfasst von: Chen Rosenberg Danziger, Irit Krause, Oded Scheuerman, Anthony Luder, Alon Yulevich, Ilan Dalal, Galia Grisaru-Soen, Efraim Bilavsky

Erschienen in: European Journal of Pediatrics | Ausgabe 1/2021

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Abstract

The current outbreak of COVID-19 raging globally is taking a heavy toll on the adult population, with a rapidly growing number of newly infected and critically ill patients. However, to date, mortality rate among children is low as they mostly suffer from a mild disease. Yet, other more routinely encountered childhood diseases do not stand still and continue to be the main share of pediatricians’ everyday challenges. Here we describe a case series of routinely seen pediatric diseases with delayed diagnosis due to different aspects of what we call “Corona-phobia”. These cases were easily collected within a 1-week period which implies that this is a more widespread phenomenon.
In conclusion, this raises the possibility that measures taken to mitigate this pandemic may be more damaging to children overall than the virus itself. We believe that pediatricians as well as policy makers should take this important aspect into consideration.
What is Known:
• COVID-19 manifests as a mild disease in most children; however, children are an important reservoir and may become spreaders of the disease.
• Social distancing and isolation are important tools in mitigating COVID-19 transmission.
What is New:
• This case series describes 7 cases with delayed diagnosis of every-day pediatric diseases that were not caused by COVID-19 but were highly influenced by different aspects of “Corona-phobia”.
• Our objective is to highlight the possibility that measures taken to mitigate this pandemic may lead to a substantial delay in the diagnosis of other non-COVID-19 related diseases.
Literatur
2.
Zurück zum Zitat Fauci AS, Lane HC, Redfield RR (2020) Covid-19 - navigating the uncharted. N Engl J Med 382(13):1268–1269 CrossRef Fauci AS, Lane HC, Redfield RR (2020) Covid-19 - navigating the uncharted. N Engl J Med 382(13):1268–1269 CrossRef
3.
Zurück zum Zitat Jiang F, Deng L, Zhang L, Cai Y, Cheung CW, Xia Z (2020) Review of the clinical characteristics of coronavirus disease 2019 (COVID-19). J Gen Intern Med 35:1545–1549 CrossRef Jiang F, Deng L, Zhang L, Cai Y, Cheung CW, Xia Z (2020) Review of the clinical characteristics of coronavirus disease 2019 (COVID-19). J Gen Intern Med 35:1545–1549 CrossRef
4.
Zurück zum Zitat Dong Y, Mo X, Hu Y, et al. (2020) Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China. Pediatrics Dong Y, Mo X, Hu Y, et al. (2020) Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China. Pediatrics
5.
Zurück zum Zitat Hoang A, Chorath K, Moreira A, et al. (2020) COVID-19 in 7780 pediatric patients: a systematic review. EClinicalMedicine. (100433) Hoang A, Chorath K, Moreira A, et al. (2020) COVID-19 in 7780 pediatric patients: a systematic review. EClinicalMedicine. (100433)
6.
Zurück zum Zitat Liguoro I, Pilotto C, Bonanni M, Ferrari ME, Pusiol A, Nocerino A, Vidal E, Cogo P (2020) SARS-COV-2 infection in children and newborns: a systematic review. Eur J Pediatr 179(7):1029–1046 CrossRef Liguoro I, Pilotto C, Bonanni M, Ferrari ME, Pusiol A, Nocerino A, Vidal E, Cogo P (2020) SARS-COV-2 infection in children and newborns: a systematic review. Eur J Pediatr 179(7):1029–1046 CrossRef
7.
Zurück zum Zitat Lu X, Zhang L, Du H et al (2020) SARS-CoV-2 infection in children. N Engl J Med 382:1663–1665 CrossRef Lu X, Zhang L, Du H et al (2020) SARS-CoV-2 infection in children. N Engl J Med 382:1663–1665 CrossRef
9.
Zurück zum Zitat Kaushik S, Aydin SI, Derespina KR, Bansal PB, Kowalsky S, Trachtman R, Gillen JK, Perez MM, Soshnick SH, Conway Jr EE, Bercow A, Seiden HS, Pass RH, Ushay HM, Ofori-Amanfo G, Medar SS (2020) Multisystem inflammatory syndrome in children (MIS-C) associated with SARS-CoV-2 infection: a multi-institutional study from New York city. J Pediatr Kaushik S, Aydin SI, Derespina KR, Bansal PB, Kowalsky S, Trachtman R, Gillen JK, Perez MM, Soshnick SH, Conway Jr EE, Bercow A, Seiden HS, Pass RH, Ushay HM, Ofori-Amanfo G, Medar SS (2020) Multisystem inflammatory syndrome in children (MIS-C) associated with SARS-CoV-2 infection: a multi-institutional study from New York city. J Pediatr
10.
Zurück zum Zitat Whittaker E, Bamford A, Kenny J, Kaforou M., Jones C.E., Shah P., Ramnarayan P., Fraisse A., Miller O., Davies P., Kucera F., Brierley J., McDougall M., Carter M., Tremoulet A., Shimizu C., Herberg J., Burns J.C., Lyall H., Levin M., for the PIMS-TS Study Group and EUCLIDS and PERFORM Consortia (2020) Clinical characteristics of 58 children with a pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2. JAMA Whittaker E, Bamford A, Kenny J, Kaforou M., Jones C.E., Shah P., Ramnarayan P., Fraisse A., Miller O., Davies P., Kucera F., Brierley J., McDougall M., Carter M., Tremoulet A., Shimizu C., Herberg J., Burns J.C., Lyall H., Levin M., for the PIMS-TS Study Group and EUCLIDS and PERFORM Consortia (2020) Clinical characteristics of 58 children with a pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2. JAMA
12.
Zurück zum Zitat Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G (2020) Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health 4:e10–e11 CrossRef Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G (2020) Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health 4:e10–e11 CrossRef
13.
Zurück zum Zitat Harahsheh AS, Dahdah N, Newburger JW, Portman MA, Piram M, Tulloh R, McCrindle BW, de Ferranti SD, Cimaz R, Truong DT, Burns JC (2020) Missed or delayed diagnosis of Kawasaki disease during the 2019 novel coronavirus disease (COVID-19) pandemic. J Pediatr 222:261–262 CrossRef Harahsheh AS, Dahdah N, Newburger JW, Portman MA, Piram M, Tulloh R, McCrindle BW, de Ferranti SD, Cimaz R, Truong DT, Burns JC (2020) Missed or delayed diagnosis of Kawasaki disease during the 2019 novel coronavirus disease (COVID-19) pandemic. J Pediatr 222:261–262 CrossRef
14.
Zurück zum Zitat Buerhaus PI, Auerbach DI, Staiger DO (2020) Older clinicians and the surge in novel coronavirus disease 2019 (COVID-19). JAMA Buerhaus PI, Auerbach DI, Staiger DO (2020) Older clinicians and the surge in novel coronavirus disease 2019 (COVID-19). JAMA
15.
Zurück zum Zitat Hollander JE, Carr BG (2020) Virtually perfect? Telemedicine for covid-19. N Engl J Med 382:1679–1681 CrossRef Hollander JE, Carr BG (2020) Virtually perfect? Telemedicine for covid-19. N Engl J Med 382:1679–1681 CrossRef
16.
Zurück zum Zitat Portnoy J, Waller M, Elliott T (2020) Telemedicine in the era of COVID-19. J Allergy Clin Immunol Pract 8:1489–1491 CrossRef Portnoy J, Waller M, Elliott T (2020) Telemedicine in the era of COVID-19. J Allergy Clin Immunol Pract 8:1489–1491 CrossRef
19.
Zurück zum Zitat Uscher-Pines L, Mulcahy A, Cowling D, Hunter G, Burns R, Mehrotra A (2016) Access and quality of care in direct-to-consumer telemedicine. Telemed J E Health 22(4):282–287 CrossRef Uscher-Pines L, Mulcahy A, Cowling D, Hunter G, Burns R, Mehrotra A (2016) Access and quality of care in direct-to-consumer telemedicine. Telemed J E Health 22(4):282–287 CrossRef
20.
Zurück zum Zitat Schoenfeld AJ, Davies JM, Marafino BJ, Dean M, DeJong C, Bardach NS, Kazi DS, Boscardin WJ, Lin GA, Duseja R, Mei YJ, Mehrotra A, Dudley RA (2016) Variation in quality of urgent health care provided during commercial virtual visits. JAMA Intern Med 176(5):635–642 CrossRef Schoenfeld AJ, Davies JM, Marafino BJ, Dean M, DeJong C, Bardach NS, Kazi DS, Boscardin WJ, Lin GA, Duseja R, Mei YJ, Mehrotra A, Dudley RA (2016) Variation in quality of urgent health care provided during commercial virtual visits. JAMA Intern Med 176(5):635–642 CrossRef
Metadaten
Titel
Pediatrician, watch out for corona-phobia
verfasst von
Chen Rosenberg Danziger
Irit Krause
Oded Scheuerman
Anthony Luder
Alon Yulevich
Ilan Dalal
Galia Grisaru-Soen
Efraim Bilavsky
Publikationsdatum
13.07.2020

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