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Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Wuhan Maternal & Child Healthcare Hosp, Dept Imaging Ctr,Wuhan Childrens Hosp, Wuhan 430015, Hubei, Peoples R China; [2]Huazhong Univ Sci & Technol, Dept Radiol, Tongji Med Coll, Tongji Hosp, Wuhan, Hubei, Peoples R China
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关键词: child clinical features COVID-19 infection tomography

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Purpose To discuss the different characteristics of clinical, laboratory, and chest computed tomography (CT) in pediatric patients from adults with 2019 novel coronavirus (COVID-19) infection. Methods The clinical, laboratory, and chest CT features of 20 pediatric inpatients with COVID-19 infection confirmed by pharyngeal swab COVID-19 nucleic acid test were retrospectively analyzed during 23 January and 8 February 2020. The clinical and laboratory information was obtained from inpatient records. All the patients were undergone chest CT in our hospital. Results Thirteen pediatric patients (13/20, 65%) had an identified history of close contact with COVID-19 diagnosed family members. Fever (12/20, 60%) and cough (13/20, 65%) were the most common symptoms. For laboratory findings, procalcitonin elevation (16/20, 80%) should be pay attention to, which is not common in adults. Coinfection (8/20, 40%) is common in pediatric patients. A total of 6 patients presented with unilateral pulmonary lesions (6/20, 30%), 10 with bilateral pulmonary lesions (10/20, 50%), and 4 cases showed no abnormality on chest CT (4/20, 20%). Consolidation with surrounding halo sign was observed in 10 patients (10/20, 50%), ground-glass opacities were observed in 12 patients (12/20, 60%), fine mesh shadow was observed in 4 patients (4/20, 20%), and tiny nodules were observed in 3 patients (3/20, 15%). Conclusion Procalcitonin elevation and consolidation with surrounding halo signs were common in pediatric patients which were different from adults. It is suggested that underlying coinfection may be more common in pediatrics, and the consolidation with surrounding halo sign which is considered as a typical sign in pediatric patients.

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出版当年[2019]版:
大类 | 3 区 医学
小类 | 2 区 儿科 3 区 呼吸系统
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 儿科 4 区 呼吸系统
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出版当年[2018]版:
Q1 PEDIATRICS Q2 RESPIRATORY SYSTEM
最新[2023]版:
Q1 PEDIATRICS Q2 RESPIRATORY SYSTEM

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Wuhan Maternal & Child Healthcare Hosp, Dept Imaging Ctr,Wuhan Childrens Hosp, Wuhan 430015, Hubei, Peoples R China;
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Wuhan Maternal & Child Healthcare Hosp, Dept Imaging Ctr,Wuhan Childrens Hosp, Wuhan 430015, Hubei, Peoples R China;
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