Zheng Zhong1,2, Xingzhi Xie3, Wei Huang4,5, Wei Zhao6, Qizhi Yu4,5, Jun Liu7,8. 1. Department of Radiology, First Hospital of Changsha, Changsha 410005 79268117@qq.com. 2. Changsha Public Health Treatment Center, Changsha 410153 79268117@qq.com. 3. Department of Radiology, Second Xiangya Hospital, Central South University, Changsha 410011 79268117@qq.com. 4. Department of Radiology, First Hospital of Changsha, Changsha 410005. 5. Changsha Public Health Treatment Center, Changsha 410153. 6. Department of Radiology, Second Xiangya Hospital, Central South University, Changsha 410011. 7. Department of Radiology, Second Xiangya Hospital, Central South University, Changsha 410011 junliu123@csu.edu.cn. 8. Department of Radiology Quality Control Center, Hunan Province, Changsha 410011, China junliu123@csu.edu.cn.
Abstract
OBJECTIVES: To describe the CT features and clinical characteristics of pediatric patients with coronavirus disease 2019 (COVID-19). METHODS: A total of 9 COVID-19 infected pediatric patients were included in this study. Clinical history, laboratory examination, and detailed CT imaging features were analyzed. All patients underwent the first CT scanning on the same day of being diagnosed by real-time reverse-transcription polymerase chain reaction (rRT-PCR). A low-dose CT scan was performed during follow-up. RESULTS: All the child patients had positive results. Four patients had cough and one patient had fever. One patient presented both cough and fever. Two children presented other symptoms like sore throat and stuffy nose. One child showed no clinical symptom. Five patients had positive initial CT findings with subtle lesions like ground-glass opacity (GGO) or spot-like mixed consolidation. Three patients were reported with negative results in the initial and follow-up CT examination. One patient was reported with initial negative CT findings but turning positive during the first follow-up. All patients had absorbed lesions on follow-up CT images after treatment. CONCLUSIONS: Pediatric COVID-19 patients have certain imaging and clinical features as well as disease prognosis. Children with COVID-19 tend to have normal or subtle CT findings and relatively better outcome.
OBJECTIVES: To describe the CT features and clinical characteristics of pediatric patients with coronavirus disease 2019 (COVID-19). METHODS: A total of 9 COVID-19infected pediatric patients were included in this study. Clinical history, laboratory examination, and detailed CT imaging features were analyzed. All patients underwent the first CT scanning on the same day of being diagnosed by real-time reverse-transcription polymerase chain reaction (rRT-PCR). A low-dose CT scan was performed during follow-up. RESULTS: All the childpatients had positive results. Four patients had cough and one patient had fever. One patient presented both cough and fever. Two children presented other symptoms like sore throat and stuffy nose. One child showed no clinical symptom. Five patients had positive initial CT findings with subtle lesions like ground-glass opacity (GGO) or spot-like mixed consolidation. Three patients were reported with negative results in the initial and follow-up CT examination. One patient was reported with initial negative CT findings but turning positive during the first follow-up. All patients had absorbed lesions on follow-up CT images after treatment. CONCLUSIONS: Pediatric COVID-19patients have certain imaging and clinical features as well as disease prognosis. Children with COVID-19 tend to have normal or subtle CT findings and relatively better outcome.
Authors: Marlos Melo Martins; Arnaldo Prata-Barbosa; Maria Clara de Magalhães-Barbosa; Antonio José Ledo Alves da Cunha Journal: Rev Paul Pediatr Date: 2020-11-16