At the end of 2019, coronavirus disease 2019 (COVID-19) was first detected in Wuhan. In March 2020, COVID-19 became a global pandemic. Saudi Arabia registered the first case of COVID-19 on March 2, 2020. COVID-19 can affect any organ in the body. It affects the respiratory system predominantly. Reverse transcriptase-polymerase chain reaction (RT-PCR) is used to diagnose COVID-19, and the preferred swab is the nasopharyngeal swab. The shedding of the virus continues for about 20 days after the onset of the symptoms. There may be prolonged shedding in a few cases without any symptoms. Viral cultures are used for the confirmation of the shedding. Although the preferred mode of diagnosis is RT-PCR, enzyme-linked immunosorbent assay helps in the diagnosis of antibodies. Here, we report a rare case of prolonged viral shedding for more than 14 weeks. The patient had a prolonged COVID-19 infection, which caused immunosuppression, following which the patient presented with an infection.

Covid 19 pandemic has been a very dreadful experience and affected all of us badly. Although children are asymptomatic and less severely affected by covid illness as compared to adult population, however the patients presenting with severe symptoms require hospitalisation and need oxygen and respiratory support. Inappropriate, prolonged use and failure to monitor oxygen therapy can have serious consequences. Oxygen therapy in children requires the selection of proper oxygen delivery system that suits the patient's size, needs, and the therapeutic goals. Low flow and high flow oxygen devices are being used to deliver oxygen in children. High flow nasal cannula has been used proved to be wonderful modality for respiratory support in children. We need to follow all guidelines laid down by various agencies while delivering oxygen and respiratory support to sick children suffering from covid infection. All precautions should be taken to avoid aerosol generation. Close monitoring of oxygen therapy is a must. In this article we have tried to cover the indication and modes, it’s relation with mucormycosis, monitoring and the precautions which we should take while giving oxygen therapy in covid era. Update of knowledge of indication of use and other modalities of treatment by treating doctors and patients are equally important so that we can fight a battle of third wave if it arrives.