Clinical and CT features in pediatric patients with COVID‐19 infection: Different points from adults
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...
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| Published in | Pediatric pulmonology Vol. 55; no. 5; pp. 1169 - 1174 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Wiley Subscription Services, Inc
01.05.2020
John Wiley and Sons Inc |
| Subjects | |
| Online Access | Get full text |
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| Abstract | 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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| AbstractList | PurposeTo discuss the different characteristics of clinical, laboratory, and chest computed tomography (CT) in pediatric patients from adults with 2019 novel coronavirus (COVID‐19) infection.MethodsThe 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.ResultsThirteen 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%).ConclusionProcalcitonin 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. 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. 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. 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%). 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. 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. 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.PURPOSETo discuss the different characteristics of clinical, laboratory, and chest computed tomography (CT) in pediatric patients from adults with 2019 novel coronavirus (COVID-19) infection.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.METHODSThe 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.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%).RESULTSThirteen 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%).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.CONCLUSIONProcalcitonin 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. |
| Author | Xia, Wei Shao, Jianbo Li, Zhen Guo, Yu Peng, Xuehua Hu, Daoyu |
| AuthorAffiliation | 1 Department of Imaging Center Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China 2 Department of Radiology Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China |
| AuthorAffiliation_xml | – name: 1 Department of Imaging Center Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China – name: 2 Department of Radiology Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China |
| Author_xml | – sequence: 1 givenname: Wei surname: Xia fullname: Xia, Wei organization: Huazhong University of Science and Technology – sequence: 2 givenname: Jianbo orcidid: 0000-0002-4224-3057 surname: Shao fullname: Shao, Jianbo email: xzhuge27@163.com organization: Huazhong University of Science and Technology – sequence: 3 givenname: Yu orcidid: 0000-0002-2296-3276 surname: Guo fullname: Guo, Yu organization: Huazhong University of Science and Technology – sequence: 4 givenname: Xuehua surname: Peng fullname: Peng, Xuehua organization: Huazhong University of Science and Technology – sequence: 5 givenname: Zhen surname: Li fullname: Li, Zhen organization: Huazhong University of Science and Technology – sequence: 6 givenname: Daoyu surname: Hu fullname: Hu, Daoyu organization: Huazhong University of Science and Technology |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32134205$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | 2020 Wiley Periodicals, Inc. |
| Copyright_xml | – notice: 2020 Wiley Periodicals, Inc. |
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| DOI | 10.1002/ppul.24718 |
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| References | 2020; 368 2020; 25 2020; 382 2020; 395 2004; 39 2020 2002; 57 2020; 91 2020; 9 e_1_2_6_9_1 e_1_2_6_8_1 e_1_2_6_5_1 e_1_2_6_4_1 e_1_2_6_10_1 e_1_2_6_7_1 e_1_2_6_6_1 e_1_2_6_13_1 e_1_2_6_3_1 e_1_2_6_11_1 e_1_2_6_2_1 e_1_2_6_12_1 32578403 - Pediatr Pulmonol. 2020 Aug;55(8):1882-1883. doi: 10.1002/ppul.24904 32196995 - Pediatr Pulmonol. 2020 May;55(5):1097. doi: 10.1002/ppul.24737 |
| References_xml | – volume: 368 year: 2020 article-title: Wuhan: Britons to be evacuated as scientists estimate 44 000 cases of 2019‐nCOV in the city publication-title: Brit Med J – volume: 395 start-page: 497 year: 2020 end-page: 506 article-title: Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China publication-title: Lancet – volume: 25 start-page: 2000057 year: 2020 article-title: Novel coronavirus (2019‐nCoV) early‐stage importation risk to Europe, January 2020 publication-title: Euro Surveill – volume: 9 start-page: 51 year: 2020 end-page: 60 article-title: Clinical analysis of 10 neonates born to mothers with 2019‐nCoV pneumonia publication-title: Transl Pediatr – volume: 57 start-page: 438 year: 2002 end-page: 441 article-title: Differentiation of bacterial and viral pneumonia in children publication-title: Thorax – volume: 382 start-page: 727 year: 2020 end-page: 733 article-title: A novel coronavirus from patients with pneumonia in China, 2019 publication-title: N Engl J Med – volume: 39 start-page: 206 year: 2004 end-page: 217 article-title: Serum procalcitonin and C‐reactive protein levels as markers of bacterial infection: a systematic review and meta‐analysis publication-title: Clin Infect Dis – year: 2020 article-title: Emerging coronavirus 2019‐nCoV pneumonia publication-title: Radiology – year: 2020 article-title: Chest CT findings in 2019 novel coronavirus (2019‐nCoV) infections from Wuhan, China: key points for the radiologist publication-title: Radiology – volume: 91 start-page: 264 year: 2020 end-page: 266 article-title: The continuing 2019‐nCoV epidemic threat of novel coronaviruses to global health—the latest 2019 novel coronavirus outbreak in Wuhan, China publication-title: Int J Infect Dis – volume: 25 start-page: 7 year: 2020 end-page: 11 article-title: Pattern of early human‐to‐human transmission of Wuhan 2019 novel coronavirus (2019‐nCoV), December 2019 to January 2020 publication-title: Euro Surveill – ident: e_1_2_6_9_1 doi: 10.21037/tp.2020.02.06 – ident: e_1_2_6_3_1 doi: 10.1056/NEJMoa2001017 – ident: e_1_2_6_5_1 – ident: e_1_2_6_7_1 doi: 10.2807/1560-7917.ES.2020.25.4.2000058 – ident: e_1_2_6_12_1 doi: 10.1148/radiol.2020200274 – ident: e_1_2_6_6_1 doi: 10.1136/bmj.m351 – ident: e_1_2_6_10_1 doi: 10.1086/421997 – ident: e_1_2_6_4_1 doi: 10.2807/1560-7917.ES.2020.25.4.2000057 – ident: e_1_2_6_11_1 doi: 10.1148/radiol.2020200241 – ident: e_1_2_6_8_1 doi: 10.1016/j.ijid.2020.01.009 – ident: e_1_2_6_2_1 doi: 10.1016/S0140-6736(20)30183-5 – ident: e_1_2_6_13_1 doi: 10.1136/thorax.57.5.438 – reference: 32578403 - Pediatr Pulmonol. 2020 Aug;55(8):1882-1883. doi: 10.1002/ppul.24904 – reference: 32196995 - Pediatr Pulmonol. 2020 May;55(5):1097. doi: 10.1002/ppul.24737 |
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To discuss the different characteristics of clinical, laboratory, and chest computed tomography (CT) in pediatric patients from adults with 2019 novel... To discuss the different characteristics of clinical, laboratory, and chest computed tomography (CT) in pediatric patients from adults with 2019 novel... PurposeTo discuss the different characteristics of clinical, laboratory, and chest computed tomography (CT) in pediatric patients from adults with 2019 novel... |
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| SubjectTerms | Adolescent Age Factors Betacoronavirus - isolation & purification Child Child, Preschool clinical features Coronavirus Infections - diagnosis Coronavirus Infections - diagnostic imaging Coronavirus Infections - epidemiology Coronavirus Infections - virology COVID-19 Female Humans Infant Infant, Newborn infection Infections Laboratories Lung - diagnostic imaging Lung - pathology Lung - virology Male Original ORIGINAL ARTICLES Pandemics Pediatrics Pediatrics - methods Pneumonia, Viral - diagnosis Pneumonia, Viral - diagnostic imaging Pneumonia, Viral - epidemiology Pneumonia, Viral - virology Procalcitonin - analysis Retrospective Studies SARS-CoV-2 tomography Tomography, X-Ray Computed - methods |
| Title | Clinical and CT features in pediatric patients with COVID‐19 infection: Different points from adults |
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