ABSTRACT
Esta publicación tiene como objetivo reunir y sistematizar los hallazgos radiológicos en el tórax pediátrico. En recientes publicaciones de la nueva enfermedad pandémica por coronavirus o COVID 19 que se realizan desde finales del 2019 hasta junio de 2020, se muestran alteraciones poco frecuentes en los niños en el área pulmonar, pero con características diferenciales o semejantes a otras patologías infecciosas respiratorias en pediatría. Los signos radiológicos se describen con dibujos para facilitar su comprensión y diferenciación desde el punto de vista docente. La manifestación de la enfermedad en las distintas modalidades de imágenes muestra características propias del COVID 19 en el período inicial y final de la enfermedad
The objetive of this paper is to do a sistematization of the radiological findings in pediatric thorax publicated since december 2019 to june 2020 concerning Covid 19 in pediatric patients. The last publications in 2020 show few cases in pediatric age in thorax but with some differential characteristics of other pulmonary infectious disease. The radiological signs are made with drawings for a effective knowledge and learning of the pathology. The manifestation of Covid 19 in imaging diagnosis shows proper characteristics and evolution from the beginning to the end of disease
Subject(s)
Humans , Male , Female , Child , COVID-19/diagnostic imaging , Radiography, Thoracic , Lung/diagnostic imagingABSTRACT
The aim of this study was to evaluate the risk of airway and/or pulmonary food or saliva aspiration in infants with moderate respiratory distress who are hospitalized with respiratory syncytial virus (RSV) bronchiolitis. This prospective, descriptive study was conducted during two epidemic RSV seasons at the Ricardo Gutiérrez Children's Hospital in Buenos Aires, Argentina. Included were otherwise healthy infants in their first wheezing episode with a modified Tal clinical score between 5 and 9. Swallowing was evaluated using a dynamic technetium-99 m colloid radionuclide salivagram using a gamma camera, followed by video fluoroscopy using nonionic and ionic contrast material. Fifteen patients (7 boys) were included. Age at evaluation (mean ± SD) was 4.3 ± 1.5 months; clinical score was 7.5 ± 1.4. Patients required (mean ± SD) supplemental oxygen and hospitalization 7.5 ± 3.7 and 8.8 ± 4.3 days, respectively. All technetium-99 m salivagram (10/10, as the gamma camera equipment was out of service during part of the study) and video fluoroscopy (15/15) studies were normal. No episodes of aspiration or laryngeal penetration were detected in any patient. Our study found that infants hospitalized with moderate respiratory distress due to RSV bronchiolitis did not show aspiration.
