Clinical characteristics and radiological features of children infected with the 2019 novel coronavirus. Issue 7 (July 2020)

• Record Type: Journal Article
• Authors: Lu, Y.; Wen, H.; Rong, D.; Zhou, Z.; Liu, H.
• Is Part Of: Clinical radiology. Volume 75:Issue 7(2020)
• Page Start: 520
• Page End: 525
• Publication Date: 2020-07
• Subjects: Medical radiology -- Periodicals; Radiotherapy -- Periodicals; Radiotherapy -- Periodicals; Radiology -- Periodicals; Societies, Medical -- Periodicals; Medical radiology; Radiotherapy; Electronic journals; Periodicals; 616.0757
• DOI: 10.1016/j.crad.2020.04.010
• Languages: English
• ISSNs: 0009-9260

Abstract

Abstract : AIM: To identify and summarise the common findings from 2019 novel coronavirus (2019-nCoV) infections in children. MATERIALS AND METHODS: The clinical characteristics and radiological findings (chest radiography and chest computed tomography [CT]) of nine children infected with the 2019-nCoV were reviewed in this retrospective case series. RESULTS: Among the children, six had fever (including two children with cough), one had only cough, one had a stuffy nose when initially diagnosed, and one was an asymptomatic carrier. Chest radiographs seemed mostly normal in six cases whereas increased and/or disordered bilateral bronchovascular shadows and dense hilar shadows were seen in three cases. Chest CT exhibited no obvious abnormal signs in four cases. Typical CT findings included patchy, peripheral ground-grass opacities, subpleural lamellar dense shadows, and parenchymal bands. Pleural effusions, mediastinal lymphadenopathy, cavitation, and pleural thickening were absent. CONCLUSION: The clinical manifestations and radiological findings of the 2019-nCoV-infected children were mild and lacked a typical pattern. Highlights: Clinical features of child clusters infected with 2019-nCoV lack a typical pattern. In mildly infected children, initial CT may be only negative or subtly abnormal. Ground-glass opacity and patchy shadow are vital CT features.