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Clinical and imaging features of pediatric COVID-19.
Zhang, Yu; Xie, Ru-Ming; He, Yu-Lin; Xing, Li-Hong; Dong, Li; Zhang, Jian-Zhong; Xing, Wei-Hong; Lv, Xiao-Yan; Lu, Yi-Bo; Liu, Qiang; Lin, Ling-Bo; Liu, Gui-Zeng; Li, Li; Li, Pan; Xie, Yuan-Zhong; Ni, Zhi-Yu; Yin, Xiao-Ping; Li, Hong-Jun; Gao, Bu-Lang.
  • Zhang Y; Affiliated Hospital of Hebei University, Baoding, 071000, Hebei Province, China.
  • Xie RM; Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China.
  • He YL; The First Affiliated Hospital, NancHang University, Nanchang, 330006, China.
  • Xing LH; Affiliated Hospital of Hebei University, Baoding, 071000, Hebei Province, China.
  • Dong L; Baoding People's Hospital, Baoding, 071000, China.
  • Zhang JZ; The Second Hospital of Xingtai City, Xingtai, 054001, China.
  • Xing WH; The Fifth Hospital of Shijiazhuang, Shijiazhuang, 050024, China.
  • Lv XY; The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100015, China.
  • Lu YB; The Fourth People's Hospital of Nanning City, Nanning, 530023, Guangxi, China.
  • Liu Q; Shandong Provincial Institute of Medical Imaging Research, Jinan, 250021, China.
  • Lin LB; Jinan Infectious Disease Hospital, Jinan, 250021, China.
  • Liu GZ; Hebei Nanpi County Hospital, Nanpi, 061500, Hebei Province, China.
  • Li L; Beijing Youan Hospital, Capital Medical University, No.8, Xi Tou Tiao, You An Men Wai, Feng Tai District, Beijing, 100069, China.
  • Li P; Jiangxi Province Jinxi County Hospital of Traditional Chinese Medicine, Jinxi County, 344800, Jiangxi Province, China.
  • Xie YZ; Medical Imaging Department, Shandong Province Tai'an City Central Hospital, Tai'an, 271000, Shandong Province, China.
  • Ni ZY; Affiliated Hospital of Hebei University, Baoding, 071000, Hebei Province, China.
  • Yin XP; Affiliated Hospital of Hebei University, Baoding, 071000, Hebei Province, China. hdfyrad@hbu.edu.cn.
  • Li HJ; Beijing Youan Hospital, Capital Medical University, No.8, Xi Tou Tiao, You An Men Wai, Feng Tai District, Beijing, 100069, China. lihongjun00113@126.com.
  • Gao BL; Affiliated Hospital of Hebei University, Baoding, 071000, Hebei Province, China.
Ital J Pediatr ; 46(1): 153, 2020 Oct 14.
Article in English | MEDLINE | ID: covidwho-874036
ABSTRACT

BACKGROUND:

Pediatric COVID-19 is relatively mild and may vary from that in adults. This study was to investigate the epidemic, clinical, and imaging features of pediatric COVID-19 pneumonia for early diagnosis and treatment.

METHODS:

Forty-one children infected with COVID-19 were analyzed in the epidemic, clinical and imaging data.

RESULTS:

Among 30 children with mild COVID-19, seven had no symptoms, fifteen had low or mediate fever, and eight presented with cough, nasal congestion, diarrhea, headache, or fatigue. Among eleven children with moderate COVID-19, nine presented with low or mediate fever, accompanied with cough and runny nose, and two had no symptoms. Significantly (P < 0.05) more children had a greater rate of cough in moderate than in mild COVID-19. Thirty children with mild COVID-19 were negative in pulmonary CT imaging, whereas eleven children with moderate COVID-19 had pulmonary lesions, including ground glass opacity in ten (90.9%), patches of high density in six (54.5%), consolidation in three (27.3%), and enlarged bronchovascular bundles in seven (63.6%). The lesions were distributed along the bronchus in five patients (45.5%). The lymph nodes were enlarged in the pulmonary hilum in two patients (18.2%). The lesions were presented in the right upper lobe in two patients (18.1%), right middle lobe in one (9.1%), right lower lobe in six (54.5%), left upper lobe in five (45.5%), and left lower lobe in eight (72.7%).

CONCLUSIONS:

Children with COVID-19 have mild or moderate clinical and imaging presentations. A better understanding of the clinical and CT imaging helps ascertaining those with negative nucleic acid and reducing misdiagnosis rate for those with atypical and concealed symptoms.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tomography, X-Ray Computed / Coronavirus Infections / Pandemics / Betacoronavirus / Lung Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Language: English Journal: Ital J Pediatr Journal subject: Pediatrics Year: 2020 Document Type: Article Affiliation country: S13052-020-00917-1

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Tomography, X-Ray Computed / Coronavirus Infections / Pandemics / Betacoronavirus / Lung Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Language: English Journal: Ital J Pediatr Journal subject: Pediatrics Year: 2020 Document Type: Article Affiliation country: S13052-020-00917-1