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.
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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