We present a case of a foreign body as a reason for right lobar pneumonia in 6,5 years old boy. He was admitted in our hospital because of 6 day high fever (up to 40 C ͦ ), malaise, cough, stomach ache. Clinically he had impaired breathing in the basis of the right lung, and laboratory findings were with elevated inflammatory markers.The radiogram of the chest showed round consolidation in the right low lung lobus. Microbiologicaly, we isolated Mycoplasma pneumonia (IgM) from pneumoslide, and also Staphylococcus aureus -MRSA from the sputum.Additional immunology tests like immunoelectrophoresis ( IgA, IgG, IgM) were done, all of them with results in normal ranges. After one week of therapy with parenteral rehydration, wide spectral antibiotics (according to antibiogram), inhalatory bronchodilatator and systemic corticosteroid, the child presented with scarce haemoptysis, with consecutive clear haemoptysis on the 10-th day.This set for bronchoscopy and Mx-test with PPD5, which was negative. Flexibile bronchoscopy was made at 11 th day of the stay, with visualized foreign body-grass like structure in the openings of the arm of middle and lower right bronchus. We continued with rigid bronchoscopy, with successfully removed grass-Hordeum murinum. After the intervention we observed completely clinical recovery of the lung findings, as well as radiological improvement

Children are a unique subgroup of patients in relation to the COVID-19 pandemic, often presenting asymptomatically, mildly or atypically. Initial reports did not include skin manifestations as a feature of COVID-19, however, there is a growing repertoire of reports showing a range of dermatologic skin manifestations in children. Six clinical skin manifestations have been described: urticaria, maculo-papular rash, morbilliform eruption, vesicular rash, lividor-reticular and multiform rash.Dermatological features occur before or simultaneously with other manifestations of COVID-19. Doctors play a key role in diagnosing patients with COVID-19 who may present for the first time unknowingly showing early signs of the disease. In this report are presented 4 patients with Covid 19 infection, where the skin is the target organ of the virus.In all children, the skin manifestation is different, their markers of inflammation are different and the treatment is not the same. In patient number 1, we look at the benefit of immunoglobulins in viral infections and consider their use in COVID-19 infection.Skin changes should never be ignored. The rash can spread and lead to a severe form of the disease. Skin manifestations may be the primary [or only] manifestation of a sign. It is extremely important to recognize it in time and to treat it accordingly.