Özet:

Heart tamponade is a condition that disrupts normal hemodynamics, prevents the proper filling of heart holes, which is life-threatening due to sudden and/or excessive accumulation of fluids in the pericardial space. Heart tamponade is rare in children, requires early diagnosis and urgent intervention. This article presents a 11-month phenomenon of developing pericardal tamponade associated with severe acute respiratory path syndrome-coronavirus-2 (SARS-CoV-2) and acute respiratory distraction syndrome. A ten-month-old man with Down syndrome was infected with cough and breathing disorders. The SARS-CoV-2 polymerase chain reaction test was found in the patient's follow-up of pericard phosphosis. Treatment of ibuprofen for pericardal fusion has begun. The patient, who developed a respiratory failure in the follow-up, was taken to the intensive care unit, and began to be monitored by the mechanical ventilator. In the patient’s intensive care service, hypotension and cardiovascular tamponade developed. The patient received an emergency pericardiosis. But after the tamponade was treated, the patient's resistant hypotension continued. The patient was lost due to acute respiratory distraction syndrome. The combination of heart tamponade and coronavirus disease-2019 (COVID-19) in children has been to be rare. There is no clear information about COVID-19 in people with Down syndrome. In this article, we presented our facts to ensure clinically early recognition of similar phenomena in SARS-CoV-2 pandemic and to ensure that patients with Down syndrome are more cautious in acute respiratory failure syndrome associated with coronavirus infection.

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