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The different clinical characteristics of corona virus disease cases between children and their families in China - the character of children with COVID-19.
Emerg Microbes Infect. 2020 Dec; 9(1):707-713.EM

Abstract

This study aims to analyze the different clinical characteristics between children and their families infected with severe acute respiratory syndrome coronavirus 2. Clinical data from nine children and their 14 families were collected, including general status, clinical, laboratory test, and imaging characteristics. All the children were detected positive result after their families onset. Three children had fever (22.2%) or cough (11.2%) symptoms and six (66.7%) children had no symptom. Among the 14 adult patients, the major symptoms included fever (57.1%), cough (35.7%), chest tightness/pain (21.4%), fatigue (21.4%) and sore throat (7.1%). Nearly 70% of the patients had normal (71.4%) or decreased (28.6%) white blood cell counts, and 50% (7/14) had lymphocytopenia. There were 10 adults (71.4%) showed abnormal imaging. The main manifestations were pulmonary consolidation (70%), nodular shadow (50%), and ground glass opacity (50%). Five discharged children were admitted again because their stool showed positive result in SARS-CoV-2 PCR. COVID-19 in children is mainly caused by family transmission, and their symptoms are mild and prognosis is better than adult. However, their PCR result in stool showed longer time than their families. Because of the mild or asymptomatic clinical process, it is difficult to recognize early for pediatrician and public health staff.

Links

Authors+Show Affiliations

Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.

Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.

Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.

Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.

Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.

Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.

Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.

Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.

Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.

Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.

Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.

Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China. Jinan Institute of Pediatrics, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.

Pub Type(s)

Comparative Study

Journal Article

Language

eng

PubMed ID

32208917

Citation

Su, Liang, et al. "The Different Clinical Characteristics of Corona Virus Disease Cases Between Children and Their Families in China - the Character of Children With COVID-19." Emerging Microbes & Infections, vol. 9, no. 1, 2020, pp. 707-713.

Su L, Ma X, Yu H, et al. The different clinical characteristics of corona virus disease cases between children and their families in China - the character of children with COVID-19. Emerg Microbes Infect. 2020;9(1):707-713.

Su, L., Ma, X., Yu, H., Zhang, Z., Bian, P., Han, Y., Sun, J., Liu, Y., Yang, C., Geng, J., Zhang, Z., & Gai, Z. (2020). The different clinical characteristics of corona virus disease cases between children and their families in China - the character of children with COVID-19. Emerging Microbes & Infections, 9(1), 707-713. https://doi.org/10.1080/22221751.2020.1744483

Su L, et al. The Different Clinical Characteristics of Corona Virus Disease Cases Between Children and Their Families in China - the Character of Children With COVID-19. Emerg Microbes Infect. 2020;9(1):707-713. PubMed PMID: 32208917.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - The different clinical characteristics of corona virus disease cases between children and their families in China - the character of children with COVID-19. AU - Su,Liang, AU - Ma,Xiang, AU - Yu,Huafeng, AU - Zhang,Zhaohua, AU - Bian,Pengfei, AU - Han,Yuling, AU - Sun,Jing, AU - Liu,Yanqin, AU - Yang,Chun, AU - Geng,Jin, AU - Zhang,Zhongfa, AU - Gai,Zhongtao, PY - 2020/3/27/entrez PY - 2020/3/27/pubmed PY - 2020/4/9/medline KW - Coronavirus KW - children KW - clinical characteristics KW - corona virus diseases-19 (COVID-19) KW - severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) SP - 707 EP - 713 JF - Emerging microbes & infections JO - Emerg Microbes Infect VL - 9 IS - 1 N2 - This study aims to analyze the different clinical characteristics between children and their families infected with severe acute respiratory syndrome coronavirus 2. Clinical data from nine children and their 14 families were collected, including general status, clinical, laboratory test, and imaging characteristics. All the children were detected positive result after their families onset. Three children had fever (22.2%) or cough (11.2%) symptoms and six (66.7%) children had no symptom. Among the 14 adult patients, the major symptoms included fever (57.1%), cough (35.7%), chest tightness/pain (21.4%), fatigue (21.4%) and sore throat (7.1%). Nearly 70% of the patients had normal (71.4%) or decreased (28.6%) white blood cell counts, and 50% (7/14) had lymphocytopenia. There were 10 adults (71.4%) showed abnormal imaging. The main manifestations were pulmonary consolidation (70%), nodular shadow (50%), and ground glass opacity (50%). Five discharged children were admitted again because their stool showed positive result in SARS-CoV-2 PCR. COVID-19 in children is mainly caused by family transmission, and their symptoms are mild and prognosis is better than adult. However, their PCR result in stool showed longer time than their families. Because of the mild or asymptomatic clinical process, it is difficult to recognize early for pediatrician and public health staff. SN - 2222-1751 UR - https://www.unboundmedicine.com/medline/citation/32208917/The_different_clinical_characteristics_of_corona_virus_disease_cases_between_children_and_their_families_in_China___the_character_of_children_with_COVID_19_ DB - PRIME DP - Unbound Medicine ER -