Clinical Analysis of Covid-19 Infections in Children with Cancer in A Tertiary Care Hospital in Bangladesh

Authors

  • Shahnoor Islam Department of Pediatric Surgery, Dhaka Medical College Hospital, Dhaka
  • Mehnaz Akter Assistant Professor, Department of Pediatric Hematology and Oncology, Dhaka Medical College Hospital, Dhaka
  • Md Tanvir Ahmmed Assistant Professor, Department of Pediatric Hematology and Oncology, Dhaka Medical College Hospital, Dhaka
  • Zannat Ara Assistant Professor, Department of Pediatric Hematology and Oncology, Dhaka Medical College Hospital, Dhaka.
  • SM Rezanur Rahman Assistant Professor, Department of Pediatric Hematology and Oncology, Dhaka Medical College Hospital, Dhaka.
  • AKM Khairul Basher Indoor Medical Officer, Department of Pediatric Surgery, Dhaka Medical College Hospital, Dhaka
  • Kamrun Nahar Assistant Registrar, Department of Pediatric Surgery, Dhaka Medical College Hospital, Dhaka
  • AKM Amirul Morshed Department of Pediatric Hematology and Oncology, Dhaka Medical College Hospital, Dhaka

DOI:

https://doi.org/10.3329/jdmc.v29i2.51193

Keywords:

COVID-19, Children, Cancer

Abstract

Background: Children suffering from cancer are more vulnerable than others. This study performed to outline the clinical characteristics and outcome of children with cancer with severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) infection in Dhaka Medical College Hospital, Dhaka.

Methods: Clinical data and epidemiologic history of 24 children with cancer with laboratoryconfirmed COVID-19 infection by real-time reverse transcription-PCR (RNA-PCR) were admitted in the Dhaka Medical College Hospital, Dhaka from May, 2020 to June, 2020. Clinical data and epidemiologic history of these patients were restrospectively collected and analyzed.

Results: Among the 24 cases, 16 (67%)were males and 8 (33%) were females. The median age was 5 years (range 0.11–12 years). The most common symptoms were fever (11 cases, 45%) and runny nose (8 cases, 33%), cough (8 cases, 33%), 6 (24%) were asymptomatic. Acute Lymphoblastic Leukemia were the most common (50%) and second most were Wilms tumor (17%). Among the 24 cases, on admission, 17 (71%) had normal white blood cell counts, while only 2 (8%) more than 10x109/L and 5 (21%) less than 4x109/L, respectively. 16 cases (67 %) had normal neutrophil count and 7 cases (29%) had neutropenia. Lymphocyte counts were normal in 50% cases, lymphocytopenia in 10 (42%). C Reactive protein and serum ferritin raised in 19(79%) cases, D-dimer raised, prothrombin time, activated partial thromboplastin time raised in 8(33%) cases. X-ray chest was abnormal in 6 cases (25%). 16 cases (66%) received intravenous antibiotics, 5 cases (21%) needed oxygen therapy and 4 cases (17%) needed corticosteroid. Ninteen (79%) patients were discharged from hospital, 3cases (13%) were discharged on request and death was 2 cases (8%).

Conclusions: Children at all ages appeared susceptible to COVID-19 and there was significant gender difference. Clinical manifestations of children’s COVID-19 cases were generally less severe than those of adult patients. Death rate is more in children with cancer than others.

J Dhaka Medical College, Vol. 29, No.2, October, 2020, Page 165-170

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Published

2021-01-05

How to Cite

Islam, S., Akter, M., Ahmmed, M. T., Ara, Z., Rahman, S. R., Basher, A. K., Nahar, K., & Morshed, A. A. (2021). Clinical Analysis of Covid-19 Infections in Children with Cancer in A Tertiary Care Hospital in Bangladesh. Journal of Dhaka Medical College, 29(2), 165–170. https://doi.org/10.3329/jdmc.v29i2.51193

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Original Articles