Clinical features of coronavirus disease 2019 in children aged <18 years in Jiangxi, China : an analysis of 23 cases

OBJECTIVE: To study the clinical features of coronavirus disease 2019 (COVID-19) in children aged <18 years.

METHODS: A retrospective analysis was performed from the medical data of 23 children, aged from 3 months to 17 years and 8 months, who were diagnosed with COVID-19 in Jiangxi, China from January 21 to February 29, 2020.

RESULTS: Of the 23 children with COVID-19, 17 had family aggregation. Three children (13%) had asymptomatic infection, 6 (26%) had mild type, and 14 (61%) had common type. Among these 23 children, 16 (70%) had fever, 11 (48%) had cough, 8 (35%) had fever and cough, and 8 (35%) had wet rales in the lungs. The period from disease onset or the first nucleic acid-positive detection of SARS-CoV-2 to the virus nucleic acid negative conversion was 6-24 days (median 12 days). Of the 23 children, 3 had a reduction in total leukocyte count, 2 had a reduction in lymphocytes, 2 had an increase in C-reactive protein, and 2 had an increase in D-dimer. Abnormal pulmonary CT findings were observed in 12 children, among whom 9 had patchy ground-glass opacities in both lungs. All 23 children received antiviral therapy and were recovered.

CONCLUSIONS: COVID-19 in children aged <18 years often occurs with family aggregation, with no specific clinical manifestation and laboratory examination results. Most of these children have mild symptoms and a good prognosis. Epidemiological history is of particular importance in the diagnosis of COVID-19 in children aged <18 years.

Medienart:

Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics - 22(2020), 5 vom: 21. Mai, Seite 419-424

Sprache:

Chinesisch

Beteiligte Personen:

Wu, Hua-Ping [VerfasserIn]
Li, Bing-Fei [VerfasserIn]
Chen, Xiao [VerfasserIn]
Hu, Hua-Zhu [VerfasserIn]
Jiang, Shu-Ai [VerfasserIn]
Cheng, Hao [VerfasserIn]
Hu, Xin-He [VerfasserIn]
Tang, Jian-Xin [VerfasserIn]
Zhong, Fu-Chu [VerfasserIn]
Zeng, Ling-Wen [VerfasserIn]
Yu, Wei [VerfasserIn]
Yuan, Yan [VerfasserIn]
Wu, Xian-Fei [VerfasserIn]
Li, Yu-Ping [VerfasserIn]
Zheng, Zong-Li [VerfasserIn]
Pan, Tian-Bo [VerfasserIn]
Wu, Zhi-Xing [VerfasserIn]
Yuan, Jin-Feng [VerfasserIn]
Chen, Qiang [VerfasserIn]

Themen:

Journal Article

Anmerkungen:

Date Completed 26.05.2020

Date Revised 11.11.2023

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM310169658