Epidemiology, clinical and imaging features of pediatric patients with COVID-19: analysis of 14 cases
10.3760/cma.j.cn114798-20200428-00514
- VernacularTitle:儿童新型冠状病毒感染14例临床分析
- Author:
Ping GAO
1
;
Wenshan ZHAO
;
Xuesong GAO
;
Di YANG
;
Yijin ZHANG
;
Hongjie LI
;
Xiaomin LIU
;
Zheng YUAN
;
Te XIAO
;
Xuefei DUAN
Author Information
1. 首都医科大学附属北京地坛医院综合科 100015
- From:
Chinese Journal of General Practitioners
2020;19(10):904-907
- CountryChina
- Language:Chinese
-
Abstract:
Epidemiologic, clinical and imaging data were collected from 14 children with confirmed coronavirus disease 2019 (COVID-19) admitted in Beijing Ditan Hospital from January 27, 2020 to February 12, 2020. There were 6 boys and 8 girls with a median age of 3.5 years (6 months-9.4 years). Four patients had a history of travel to Wuhan City or Hubei Province and 2 patients had contacted with people from Wuhan; 13 patients were familial cluster of infection. The incubation period was 4 to 16 days. The clinical manifestations were fever in 8 cases, cough in 5 cases, diarrhea in 1 case; and 2 cases were asymptomatic. Four patients had abnormal peripheral blood routine, including 1 had lymphocytosis, 3 had lymphocytopenia; 3 patients had a slightly elevated CRP, and 3 patients had hepatic dysfunction. Thirteen patients underwent chest CT; and 1 case showed bilateral lung glass exudation, 1 case showed multiple patchy high density shadows of bilateral lung. One patient underwent chest X-ray examination, which was showed no abnormal findings. The pediatric patients with COVID-19 in this series generally have a traceable epidemiological history. The clinical manifestations are fever, cough and diarrhea. Peripheral white blood cell counts were most normal. Chest CT reveals less severe changes than those in adults, most child patients show no manifestation of pneumonia.
