Laboratory derangements and clinical picture of Covid-19 in pediatric age group: A retrospective study

ABSTRACT

Aim: To assess the clinical presenta?on and laboratory derangements of pediatric covid-19 pa?ents admi?ed to the ter?ary care hospital. Methodology: The present retrospec?ve study was started a?er the approval of the Ins?tu?onal Ethics Commi?ee. Clinical (Sp02, final diagnosis and outcome) and biochemical parameters (Complete Blood Count, Liver Func?on Test, Renal Func?on Test, Lactate De-Hydrogenase, D-dimer, C-Reac?ve Protein, and Serum ferri?n) of pediatric covid-19 pa?ents were collected from Central Laboratory and Medical Record Department of our ins?tu?on. Pa?ent names were anonymized and data were analyzed. The results are expressed in percentages. Results: A total of 16 pediatric covid-19 pa?ent details were iden?fied and collected who were admi?ed during our study period. Out of 16 pa?ents, 09 (56.2%) were female and the remaining 07 (43.7%) were male. Out of 16, 05 pa?ents had mild covid, 07 were moderate and the remaining 04 suffered from severe covid-19 infec?on. The mean values of oxygen satura?on, LDH, D-dimer, CRP, and Ferri?n were 88%, 249.4U/L, 1140.9 ng/ml, 16.17 mg/dl, and 61.7 µg/L respec?vely. Mean values of 17.9 mg/dl and 0.4 mg/dl were recorded for blood urea and S.crea?nine. Regarding liver func?on tests, mean values of 1.7mg/dl, 0.2mg/dl, 1.5mg/dl, 82.4 U/L, 55 U/L, 135.6 U/L respec?vely noted for total bilirubin, direct, indirect, SGOT, SGPT and ALP. Regarding pa?ent outcomes, all the pa?ents were covered and discharged from the hospital. Conclusion: The present study has found an increase in laboratory mean values of liver func?on tests but the mean values of C-Reac?ve protein, LDH, and d-dimer which are the acute inflammatory markers are highly disrupted compared to normal ranges.