Severe neonatal COVID‐19: Challenges in management and therapeutic approach - Wiley
1 INTRODUCTION Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) responsible for coronavirus disease 2019 (COVID-19) was first identified in Wuhan, China, in December 2019. Since then, the virus has rapidly spread across the world due to its high transmissibility and the World Health Organization (WHO) declared COVID-19 as a pandemic on March 11, 2020. Clinical manifestations among pediatric patients are generally less severe than those seen in adults, but the proportion of severe and critical cases reported in children inversely correlates with their age at presentation, with more severe cases reported in infants less than one year of age. 1, 2 Nonetheless, early reports on neonatal SARS-CoV-2 infections were reassuring, with most cases showing an asymptomatic course or rarely symptomatic uncomplicated diseases. 3, 4 As the pandemic evolved, however, reports of neonatal acute respiratory distress syndrome have been increasingly ...