NE-Coli sepsis or SARC-COV-2? A neonatal case report: Can SARS-COV-2 transfer by care provider hands?

Abstract

Babak Beige, Fereshteh Moshfegh, Nazanin Zafaranloo, Babak Teimurzadeh and Mina Amanzadeh

Introduction: Since December 2019, an outbreak of a novel virus was happened in Wuhan, China and globally spreading virus that is called SARS-COV-2. There is little information about clinical features and epidemiological data of the virus specially in children and neonates.the disease that happens after infection is so mysterious and with unspecified sign and symptoms. Course of Infection in adult and children are more recognized despite of neonate’s course. Route of transmission between neonates are not identified clearly, so maybe many cases or serially reporting, solve the problem.

Case Presentation: We introduce an Iranian male newborn who admitted to neonatal intensive care unit (NICU) in a private hospital of Alborze province, Iran, with grunting and poor feeding. His mother had negative nasopharyngeal (NP)- covid-19’s PCR. He had fever for about 6 days, grunting and respiratory distress that was intubated for some days. He was positive for covid-19. Due to continuous fever, in his second sepsis work up he had positive blood culture with Escherichia Coli (E. coli) finally, he was treated with intravenous immunoglobulin (IVIG) and hydrocortisone.

Conclusion: According to co-hospitalization of a covid-19 positive neonate in this NICU, although there was 3meter distances between he and our case, it is possible that covid-19 infection was spread by nursing care, therefore it was the main cause of ECOLI infections as mentioned in previous studies.

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