We have read with interest the article by Watroba and Bryda on a new-born male with SARS-CoV-2 associated meningo-encephalitis, post-inflammatory hydrocephalus and seizures [1]. Neuro-COVID in this patient was treated with a polypragmatic approach, including phenobarbital, acetazolamide, fluconazole, acyclovir, cefotaxime, and vancomycin [1]. The study is appealing but has limitations
that raise concerns and should be discussed.
REFERENCES(4)
1.
Wątroba SJ, Bryda J. Meningoencephalitis and postinflammatory hydrocephalus in the course of COVID-19 disease in newborn – the potential role of acetazolamide as add-on therapy to the standard treatment. Ann Agric Environ Med. 2022 Dec 27;29(4):595–602. doi: 10.26444/aaem/154827.
Gadiwala S, Mistry A, Patel S, Chaithanya A, Pathak S, Satnarine T, Bekina-Sreenivasan D, Bakarr AA, Das BB, Chakinala RC, Patel S, Areti S. MIS-C related to SARS-CoV-2 infection: a narrative review of presentation, differential diagnosis, and management. Infez Med. 2022 Sep 1;30(3):344–352. doi: 10.53854/liim-3003-3.
Shaiba LA, More K, Hadid A, Almaghrabi R, Al Marri M, Alnamnakani M, Shah P. Multisystemic Inflammatory Syndrome in Neonates: A Systematic Review. Neonatology. 2022;119(4):405–417. doi: 10.1159/000524202.
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