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Clinical Manifestations and CT Scan Features in Children with COVID-19

Publish Year: 1403
Type: Journal paper
Language: English
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JR_INJPM-12-10_001

Index date: 21 January 2025

Clinical Manifestations and CT Scan Features in Children with COVID-19 abstract

Background: There is a paucity of quantitative studies on COVID-19 in children, and with the rising trend of infection in children, there is a need for more information in the clinical and paraclinical domains to be shared.Objectives: The present research was designed to investigate the clinical and paraclinical manifestations of children with COVID-19 referred to Dr. Masih Daneshvari Hospital from September 2021 to September 2022 to maintain intuition into assessment and effective management of COVID-19 infection in children.Methods: In this cross-sectional study, 70 children (under 18 years old) with COVID-19 who met the study entry criteria were included. Demographic characteristics, including the age and gender of the patients, as well as the family history of COVID-19 exposure, were recorded for the patients. CT scan findings of the patients were documented according to a standard questionnaire. The study results were analyzed and examined using SPSS software to enhance the diagnosis.Results: Among the 70 study subjects, 66 individuals (94.3%) tested positive for PCR-COVID, and four individuals tested negative for PCR-COVID. Only 38 cases (54.3%) reported common findings on CT scans. Fever, cough, and lethargy were the most common clinical findings in the study population.Conclusions: The presence of GGO on CT scans in children with COVID-19 should be regarded as an important indicator of the disease worsening. Among the clinical symptoms of chills, dyspnea, and myalgia had significant correlations with CT findings—particularly when two or all three symptoms were present. This allows clinicians to predict pulmonary involvement with reasonable accuracy and may help in deciding when to avoid unnecessary CT scans.

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Clinical Manifestations and CT Scan Features in Children with COVID-19 authors

Sedigheh Hasani Ranjbar

Pediatric Respiratory Disease Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Hosseinali Ghaffaripour

Pediatric Respiratory Disease Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Maryam Hassanzad

Pediatric Respiratory Disease Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Mahsa MirZendehdel

Pediatric Respiratory Disease Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Elham Sadati

Pediatric Respiratory Disease Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

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