COVID-19 pneumonia - pediatric
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At the time the case was submitted for publication Francesca Finazzo had no recorded disclosures.View Francesca Finazzo's current disclosures
Fever, dyspnea, cough and sputum production.
Mild peripheral left upper lobe consolidation.
An 18-month-old with a family history of COVID-19 was admitted to the hospital for fever, cough and nasal discharge. The pharyngeal swab for COVID-19 nucleic acid test was positive.
He underwent to a chest X-ray that showed a mild peripheral left upper lobe consolidation. He recovered well after ten days, having being treated treatment with high-flow oxygen, corticosteroid and broad-spectrum antibiotics. He was discharged following two negative upper nasopharyngeal swabs.
There is little literature on pediatric COVID-19 infections. An analysis from China has shown that children younger than 10 years account for only 1% of COVID-19 cases. Children frequently have mild or asymptomatic disease, with pneumonia in a small number of cases. The typical radiographic image of pulmonary involvement in COVID-19 is ground-glass opacities and consolidation.
- Kelvin, Alyson A et al. COVID-19 in children: the link in the transmission chain. The Lancet Infectious Diseases. https://doi.org/10.1016/S1473-3099(20)30236-X
- Wei Li, Huaqian Cui, Kunwei Li, Yijie Fang, Shaolin Li. Chest computed tomography in children with COVID-19 respiratory infection. (2020) Pediatric Radiology. doi:10.1007/s00247-020-04656-7 - Pubmed
- Wei Xia, Jianbo Shao, Yu Guo, Xuehua Peng, Zhen Li, Daoyu Hu. Clinical and CT features in pediatric patients with COVID‐19 infection: Different points from adults. (2020) Pediatric Pulmonology. doi:10.1002/ppul.24718 - Pubmed