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Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study.
BMC Pediatr. 2020 05 18; 20(1):227.BPed

Abstract

BACKGROUND

Recently, the World Health Organization has declared the coronavirus disease 2019 (COVID-19) outbreak a public health emergency of international concern. So far, however, limited data are available for children. Therefore, we aimed to investigate the clinical and chest CT imaging characteristics of COVID-19 in preschool children.

METHODS

From January 26, 2020 to February 20, 2020, the clinical and initial chest CT imaging data of eight preschool children with laboratory-confirmed COVID-19 from two hospitals were retrospectively collected. The chest CT imaging characteristics, including the distribution, shape, and density of lesions, and the pleural effusion, pleural changes, and enlarged lymph nodes were evaluated.

RESULTS

Two cases (25%) were classified as mild type, and they showed no obvious abnormal CT findings or minimal pleural thickening on the right side. Five cases (62.5%) were classified as moderate type. Among these patients, one case showed consolidation located in the subpleural region of the right upper lobe, with thickening in the adjacent pleura; one case showed multiple consolidation and ground-glass opacities with blurry margins; one case displayed bronchial pneumonia-like changes in the left upper lobe; and two cases displayed asthmatic bronchitis-like changes. One case (12.5%) was classified as critical type and showed bronchial pneumonia-like changes in the bilateral lungs, presenting blurred and messy bilateral lung markings and multiple patchy shadows scattered along the lung markings with blurry margins.

CONCLUSIONS

The chest CT findings of COVID-19 in preschool children are atypical and various. Accurate diagnosis requires a comprehensive evaluation of epidemiological, clinical, laboratory and CT imaging data.

Authors+Show Affiliations

Department of Radiology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, Hubei, PR China.Department of Radiology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, Hubei, PR China.Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan, 442000, Hubei, PR China.Department of Neurology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, Hubei, PR China.Department of Radiology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, Hubei, PR China.Huaxi MR Research Center (HMRRC), Functional and molecular imaging Key Laboratory of Sichuan Province, Department of Radiology, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu, 610041, Sichuan, PR China. WBLlin0129@163.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32423435

Citation

Li, Yang, et al. "Chest CT Imaging Characteristics of COVID-19 Pneumonia in Preschool Children: a Retrospective Study." BMC Pediatrics, vol. 20, no. 1, 2020, p. 227.
Li Y, Cao J, Zhang X, et al. Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study. BMC Pediatr. 2020;20(1):227.
Li, Y., Cao, J., Zhang, X., Liu, G., Wu, X., & Wu, B. (2020). Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study. BMC Pediatrics, 20(1), 227. https://doi.org/10.1186/s12887-020-02140-7
Li Y, et al. Chest CT Imaging Characteristics of COVID-19 Pneumonia in Preschool Children: a Retrospective Study. BMC Pediatr. 2020 05 18;20(1):227. PubMed PMID: 32423435.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study. AU - Li,Yang, AU - Cao,Jianghui, AU - Zhang,Xiaolong, AU - Liu,Guangzhi, AU - Wu,Xiaxia, AU - Wu,Baolin, Y1 - 2020/05/18/ PY - 2020/03/31/received PY - 2020/05/12/accepted PY - 2020/5/20/entrez PY - 2020/5/20/pubmed PY - 2020/5/27/medline KW - COVID-19 KW - Child KW - Multidetector computed tomography KW - Pneumonia KW - SARS-CoV-2 SP - 227 EP - 227 JF - BMC pediatrics JO - BMC Pediatr VL - 20 IS - 1 N2 - BACKGROUND: Recently, the World Health Organization has declared the coronavirus disease 2019 (COVID-19) outbreak a public health emergency of international concern. So far, however, limited data are available for children. Therefore, we aimed to investigate the clinical and chest CT imaging characteristics of COVID-19 in preschool children. METHODS: From January 26, 2020 to February 20, 2020, the clinical and initial chest CT imaging data of eight preschool children with laboratory-confirmed COVID-19 from two hospitals were retrospectively collected. The chest CT imaging characteristics, including the distribution, shape, and density of lesions, and the pleural effusion, pleural changes, and enlarged lymph nodes were evaluated. RESULTS: Two cases (25%) were classified as mild type, and they showed no obvious abnormal CT findings or minimal pleural thickening on the right side. Five cases (62.5%) were classified as moderate type. Among these patients, one case showed consolidation located in the subpleural region of the right upper lobe, with thickening in the adjacent pleura; one case showed multiple consolidation and ground-glass opacities with blurry margins; one case displayed bronchial pneumonia-like changes in the left upper lobe; and two cases displayed asthmatic bronchitis-like changes. One case (12.5%) was classified as critical type and showed bronchial pneumonia-like changes in the bilateral lungs, presenting blurred and messy bilateral lung markings and multiple patchy shadows scattered along the lung markings with blurry margins. CONCLUSIONS: The chest CT findings of COVID-19 in preschool children are atypical and various. Accurate diagnosis requires a comprehensive evaluation of epidemiological, clinical, laboratory and CT imaging data. SN - 1471-2431 UR - https://www.unboundmedicine.com/medline/citation/32423435/Chest_CT_imaging_characteristics_of_COVID_19_pneumonia_in_preschool_children:_a_retrospective_study_ L2 - https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-020-02140-7 DB - PRIME DP - Unbound Medicine ER -