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Persistent hypoxaemia and a headache in a previously healthy 11-year-old girl
  1. Ido Sadras1,
  2. Meir Mei-Zahav2,3,
  3. Oded Breuer1
  1. 1 Pediatric Pulmonology Unit, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel
  2. 2 Pulmonary Institute, Schneider Children's Medical Center of Israel, Petah Tikva, Israel
  3. 3 Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
  1. Correspondence to Dr Oded Breuer, Pediatric Pulmonology Unit, Hadassah University Hospital, Jerusalem, Israel; odedbreuer{at}

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An 11-year-old girl presented with headache, fever and hypoxaemia. Two months earlier, she suffered a mild COVID-19 infection but was otherwise healthy and family history was unremarkable. At presentation, other than hypoxaemia with a room air oxygen saturation of 87%, her physical examination was normal. Blood test results showed a white cell count of 23×109/L and an elevated C reactive protein level of 3.5 mg/L. Chest X-ray (figure 1) demonstrated a retrocardiac opacity. The patient was admitted with a presumed diagnosis of pneumonia for intravenous cefuroxime and oral azithromycin treatment. During admission, blood cultures, viral PCR panel, PCR for mycoplasma and evaluation for multisystem inflammatory syndrome in children were negative. Repeated pulse oximeter measurements showed room air oxygen saturation of 93%. The …

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  • Contributors All authors met the criteria for authorship as recommended by the International Committee of Medical Journal Editors (ICMJE), were fully responsible for all content and editorial decisions, retained full control over all content contained in this report, and were involved with all stages of report development. IS: original draft. OB and MM-Z: critical review and approval of final manuscript

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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