{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:40:17Z","timestamp":1756291217491,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,2]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Most reports of COVID-19 in neonates suggest that they are infected postnatally and present with gastrointestinal or respiratory symptoms. We describe a neonate who had community-acquired COVID-19, and presented with late-onset sepsis and developed dyselectrolytemia. The 26-day-old male baby had fever, feed refusal and shock. Rapid antigen test for SARS-CoV-2 by nasopharyngeal swab was positive and levels of circulating inflammatory markers were high. The baby was supported with antibiotics, and inotropic and vasopressor drugs. He had seizures and bradycardia due to dyselectrolytemia on day 2 of admission. On day 3, he had respiratory distress, with non-specific chest radiographic findings, and was managed with non-invasive support for 24 hours. The baby was discharged after 8 days. On serial follow-up, he was breastfeeding well and gaining weight appropriately with no morbidity. Our report highlights a unique presentation of COVID-19, with late-onset infection and shock-like features along with dyselectrolytemia and seizures.<\/jats:p>","DOI":"10.1136\/bcr-2021-246100","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T12:55:37Z","timestamp":1631624137000},"page":"e246100","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Shock and dyselectrolytemia in a neonate with late-onset COVID-19 infection"],"prefix":"10.1136","volume":"14","author":[{"given":"Aditya","family":"Kallimath","sequence":"first","affiliation":[{"name":"Department of Neonatology, Bharati Vidyapeeth University, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reema","family":"Garegrat","sequence":"additional","affiliation":[{"name":"Bharati Vidyapeeth University, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suprabha","family":"Patnaik","sequence":"additional","affiliation":[{"name":"Bharati Vidyapeeth University, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradeep","family":"Suryawanshi","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Bharati Vidyapeeth University, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,14]]},"reference":[{"key":"2025082703153740000_14.9.e246100.1","doi-asserted-by":"publisher","DOI":"10.21037\/tp.2020.02.06"},{"key":"2025082703153740000_14.9.e246100.2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.ajog.2020.07.049","article-title":"Vertical transmission of coronavirus disease 2019: a systematic review and meta-analysis","volume":"224","author":"Kotlyar","year":"2021","journal-title":"Am J Obstet Gynecol"},{"key":"2025082703153740000_14.9.e246100.3","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319837"},{"key":"2025082703153740000_14.9.e246100.4","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s13312-021-2136-3","article-title":"Outcome of Covid-19 positive newborns presenting to a tertiary care hospital","volume":"58","author":"Shah","year":"2021","journal-title":"Indian Pediatr"},{"key":"2025082703153740000_14.9.e246100.5","doi-asserted-by":"crossref","first-page":"634844","DOI":"10.3389\/fped.2021.634844","article-title":"Neonates and young infants with COVID-19 presented with sepsis-like syndrome: a retrospective case controlled study","volume":"9","author":"Hassan","year":"2021","journal-title":"Front Pediatr"},{"key":"2025082703153740000_14.9.e246100.6","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-020-18982-9"},{"key":"2025082703153740000_14.9.e246100.7","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.anpedi.2020.04.012","article-title":"COVID-19: fever syndrome and neurological symptoms in a neonate","volume":"92","author":"Chac\u00f3n-Aguilar","year":"2020","journal-title":"Anales de Pediatr\u00eda"},{"key":"2025082703153740000_14.9.e246100.8","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000002735"},{"key":"2025082703153740000_14.9.e246100.9","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2021-241846","article-title":"Aberrated supraventricular tachycardia associated with neonatal fever and COVID-19 infection","volume":"14","author":"Hopkins","year":"2021","journal-title":"BMJ Case Rep"},{"key":"2025082703153740000_14.9.e246100.10","unstructured":"Lopez RA , Padilla LA , Sorabella RA . Tachyarrhythmia as a possible symptom of coronavirus in a neonate diagnosed with transposition of the great arteries. Journal of Cardiac Surgery."},{"key":"2025082703153740000_14.9.e246100.11","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1007\/s13312-020-1852-4","article-title":"Perinatal-neonatal management of COVID-19 Infection - guidelines of the federation of obstetric and gynaecological societies of India (FOGSI), national neonatology forum of India (NNF), and Indian academy of pediatrics (IAP)","volume":"57","author":"Chawla","year":"2020","journal-title":"Indian Pediatr"},{"key":"2025082703153740000_14.9.e246100.12","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1093\/jpids\/piaa084","article-title":"Severe acute respiratory syndrome coronavirus 2 infection in febrile neonates","volume":"9","author":"Wardell","year":"2020","journal-title":"J Pediatric Infect Dis Soc"},{"key":"2025082703153740000_14.9.e246100.13","doi-asserted-by":"crossref","DOI":"10.1056\/NEJMc2010614","article-title":"Late-onset neonatal sepsis in a patient with Covid-19","volume":"382","author":"Coronado Munoz","year":"2020","journal-title":"N Engl J Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-246100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:15:45Z","timestamp":1756289745000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-246100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":13,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,14]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-246100"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-246100","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}