Pediatrician, watch out for corona-phobia

Eur J Pediatr. 2021 Jan;180(1):201-206. doi: 10.1007/s00431-020-03736-y. Epub 2020 Jul 13.

Abstract

The current outbreak of COVID-19 raging globally is taking a heavy toll on the adult population, with a rapidly growing number of newly infected and critically ill patients. However, to date, mortality rate among children is low as they mostly suffer from a mild disease. Yet, other more routinely encountered childhood diseases do not stand still and continue to be the main share of pediatricians' everyday challenges. Here we describe a case series of routinely seen pediatric diseases with delayed diagnosis due to different aspects of what we call "Corona-phobia". These cases were easily collected within a 1-week period which implies that this is a more widespread phenomenon.In conclusion, this raises the possibility that measures taken to mitigate this pandemic may be more damaging to children overall than the virus itself. We believe that pediatricians as well as policy makers should take this important aspect into consideration. What is Known: • COVID-19 manifests as a mild disease in most children; however, children are an important reservoir and may become spreaders of the disease. • Social distancing and isolation are important tools in mitigating COVID-19 transmission. What is New: • This case series describes 7 cases with delayed diagnosis of every-day pediatric diseases that were not caused by COVID-19 but were highly influenced by different aspects of "Corona-phobia". • Our objective is to highlight the possibility that measures taken to mitigate this pandemic may lead to a substantial delay in the diagnosis of other non-COVID-19 related diseases.

Keywords: COVID-19; Children; Corona virus; Corona-phobia; Pediatric.

MeSH terms

  • Adolescent
  • COVID-19 / epidemiology*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Incidence
  • Infant, Newborn
  • Male
  • Occupational Exposure / adverse effects*
  • Pandemics*
  • Pediatricians / psychology*
  • Phobic Disorders / epidemiology
  • Phobic Disorders / etiology*
  • Phobic Disorders / psychology
  • SARS-CoV-2*