Results
We reported a 27-month-old boy, known case of B-cell Acute Lymphoblastic
Leukemia who was commenced on chemotherapy in late 2019. He was in
remission but had to postpone his chemotherapy due to post-induction
chemotherapy neutropenia. He stayed with his mother, two siblings and
their extended family members. He was screened for COVID-19 infection
after revealing that he had contact with his two extended family members
who were positive for COVID-19. They had travelled interstate to a
wedding function (nine days before his rescheduled chemotherapy) and
subsequently developed a cough and sore throat without fever. Social
distancing was not practised among the household members. He was
transferred to a COVID-19 designated hospital for quarantine and
observation but remained asymptomatic during his 16 days of hospital
stay.
His chest radiograph showed minimal consolidative changes. Full blood
counts on admission showed white cell count of 12x109/L, neutrophil
count of 4.9x109/L, lymphocytes count of 4.24x109/L, and platelet counts
of 337x109/L. Renal and liver function test, were within the normal
value for age. C-reactive protein was twice negative. SARS-CoV-2
real-time Polymerase Chain reaction (rT-PCR) were repeated at day 10th,
13th and 16th of admission. His last naso- and oropharyngeal swab at day
16 were negative, and he was discharged well to continue for another one
week of home quarantine. The patient completed his home quarantine
period asymptomatically, and chemotherapy was commenced after that.