[Clinical features and chest CT findings of coronavirus disease 2019 in infants and young children].
Zhongguo Dang Dai Er Ke Za Zhi
; 22(3): 215-220, 2020 Mar.
Article
em Zh
| MEDLINE
| ID: mdl-32204756
ABSTRACT
OBJECTIVE:
To study the clinical features and chest CT findings of coronavirus disease 2019 (COVID-19) in infants and young children.METHODS:
A retrospective analysis was performed for the clinical data and chest CT images of 9 children, aged 0 to 3 years, who were diagnosed with COVID-19 by nucleic acid detection between January 20 and February 10, 2020.RESULTS:
All 9 children had an epidemiological history, and family clustering was observed for all infected children. Among the 9 children with COVID-19, 5 had no symptoms, 4 had fever, 2 had cough, and 1 had rhinorrhea. There were only symptoms of the respiratory system. Laboratory examination showed no reductions in leukocyte or lymphocyte count. Among the 9 children, 6 had an increase in lymphocyte count and 2 had an increase in leukocyte count. CT examination showed that among the 9 children, 8 had pulmonary inflammation located below the pleura or near the interlobar fissure and 3 had lesions distributed along the bronchovascular bundles. As for the morphology of the lesions, 6 had nodular lesions and 7 had patchy lesions; ground glass opacity with consolidation was observed in 6 children, among whom 3 had halo sign, and there was no typical paving stone sign.CONCLUSIONS:
Infants and young children with COVID-19 tend to have mild clinical symptoms and imaging findings not as typical as those of adults, and therefore, the diagnosis of COVID-19 should be made based on imaging findings along with epidemiological history and nucleic acid detection. Chest CT has guiding significance for the early diagnosis of asymptomatic children.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pneumonia Viral
/
Infecções por Coronavirus
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Screening_studies
Limite:
Child, preschool
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Humans
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Infant
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Newborn
Idioma:
Zh
Ano de publicação:
2020
Tipo de documento:
Article