Clinical presentation and CT features in pediatric patients with
COVID‐19 infection
Abstract
Background: The aim of this study includes to discuss the clinical,
laboratory, and chest computed tomography (CT) in pediatric patients
with 2019 novel coronavirus (COVID‐19) infection. Material and Methods:
The clinical, laboratory, and chest CT features of 17 pediatric
inpatients with COVID‐19 infection confirmed by pharyngeal swab COVID‐19
polymerase chain reaction(PCR). All clinical and laboratory data have
been recorded and analyzed during march-june 2020 . Chest CT have been
performed to all Covid 19 PCR confirmed patients and radiologicall view
have been noted. Results: Seventeen pediatric patients with a history of
close contact with COVID‐19 diagnosed family members included to the
study. Fever (10/17, 58%) and cough (13/17, 76%) were the most common
symptoms. For laboratory findings, c reactive protein elevation (15/17,
88%) seem to be the most finding. A total of 4 patients presented with
unilateral pulmonary lesions (4/17, 23%), 9 with bilateral pulmonary
lesions (9/17, 52%) and 13 cases showed bilateral diffuse covid pattern
on chest CT (13/17, 76%). Non-spesific consolidation with was observed
in 8 patients (8/17, 47%), ground‐glass opacities were observed in 11
patients (11/17, 64%), nodules were observed in 7 patients (7/17,
41%), and tiny nodules were observed in 2 patients (2/17, 11%).
Conclusion: In pediatric patients with positive COVID‐19 nucleic acid
test from pharyngeal swab samples; the early detection of lesions by CT
can be efficient; in management and early treatment for pediatric
patients. However; early chest CT screening and COVİD-19 PCR testing
together can be more efficent in diagnose. Keywords: Covid-19, viral
pneumenia, chest computed tomography (CT), childeren.