Dexamethasone-Induced Bradycardia in a SARS-CoV-2 Positive Neonate with Bilateral Congenital Dacryocystoceles

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Trevor B. Cabrera, MD

Abstract

We present a case of a term neonate perinatally infected with SARS-CoV-2 who developed asymptomatic transient bradycardia due to IV dexamethasone during treatment for bilateral congenital dacryocystoceles. While cases of steroid-induced bradycardia are reported in older children and adults, the incidence in neonates is unknown, given the relative paucity of use in this population. In addition, it is unclear if this effect may be compounded or complicated by acute infections with SARS-CoV-2. Neonates treated with steroids, especially in the setting of infections with SARS-CoV-2, should be monitored with telemetry for the development of bradycardia.

Keywords: Steroid-induced bradycardia, dexamethasone-induced bradycardia, COVID-19, SARS-CoV-2

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Disclosures: None noted.

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