Respiratory Manifestations of COVID-۱۹ in Children: A Narrative Review

Publish Year: 1400
نوع سند: مقاله ژورنالی
زبان: English
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JR_JPRE-10-0_005

تاریخ نمایه سازی: 9 آذر 1402

Abstract:

Background: Coronavirus disease ۲۰۱۹ (COVID‐۱۹, the seventh coronavirus) is a new infectious disease that spread worldwide and rapidly became a pandemic. COVID‐۱۹ is rare in children and often asymptomatic. The respiratory system is mainly involved in COVID-۱۹ infection.  Objectives: This study aimed to review respiratory manifestations in children with COVID-۱۹. Methods: We searched for studies published from January ۲۰۲۰ to January ۲۰۲۱ in PubMed, Google Scholar, and Scopus in English. The search words were “۲۰۱۹-nCoV,” “novel coronavirus,” “COVID-۱۹,” “SARS-CoV-۲,” “severe acute respiratory syndrome coronavirus ۲,” “children,” “child,” “infant,” “teenager,” “adolescent,” “pediatric,” and “neonate.” Results: Cough was a common symptom in our study (۱۸.۸%-۱۰۰%, mean=۶۴%). Pneumonia prevalence in children with COVID-۱۹ is ۱۱%-۶۷% (mean=۴۶%). Mild respiratory symptoms (۱۴% - ۶۰%) and severe respiratory distress syndromes (۱۴%) were reported in some studies. Upper respiratory tract infection (URTI) was reported in ۴ studies ranging from ۱۱.۱% to ۳۴.۴% (mean=۲۴.۱%). Ground-glass opacities (GGO) was reported in ۱۲.۲% to ۸۱% of cases (mean=۴۹.۰۱%). Isolated consolidations were reported in ۱۷% and ۵۸% of patients in two studies. Enhanced lung texture was reported in ۱.۳% to ۵۰% (mean=۲۰.۰۷%) of patients. Bilateral patchy shadowing was seen in ۱۲.۳% to ۶۸% (mean=۴۶.۵۸%) of patients. Conclusions: Cough is the most common manifestation of respiratory system involvement in children with COVID-۱۹. GGO and bilateral patchy involvement are the most common finding on lung CT scans in children with COVID-۱۹.

Authors

Farzad Masiha

Department of pediatric, Faculty of medicine, Mazandaran University of Medical Sciences, Sari, Iran.

Abbas Dabbaghzadeh

Department of pediatric, Faculty of medicine, Mazandaran University of Medical Sciences, Sari, Iran.

Negar Ghaffari

Department of pediatric, Faculty of medicine, Mazandaran University of Medical Sciences, Sari, Iran.

Javad Ghaffari

Department of pediatric, Faculty of medicine, Mazandaran University of Medical Sciences, Sari, Iran.

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