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.