Pediatrics Infected with COVID-19: A Case Series Study on Pediatrics Hospitalized in a Referral Pediatric Hospital

Introduction. COVID-19 infection which is a novel pneumonia associated with coronavirus suddenly broke out in the world. The aim of this study is to analyze and summarize the clinical characteristics of pediatric patients who were hospitalized in a referral pediatric hospital because of COVID-19 inf...

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Main Authors: Houman Hashemian, Saeid Sadat Mansouri, Hamid Reza Badeli, Ebrahim Esmaili, Majid Asgharzadeh, Tamkin Shahraki, Neda Aligoli Ghasemabadi, Reza Falahatkar, Parham Mashouf, Alireza Jafari
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2021/1135503
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author Houman Hashemian
Saeid Sadat Mansouri
Hamid Reza Badeli
Ebrahim Esmaili
Majid Asgharzadeh
Tamkin Shahraki
Neda Aligoli Ghasemabadi
Reza Falahatkar
Parham Mashouf
Alireza Jafari
author_facet Houman Hashemian
Saeid Sadat Mansouri
Hamid Reza Badeli
Ebrahim Esmaili
Majid Asgharzadeh
Tamkin Shahraki
Neda Aligoli Ghasemabadi
Reza Falahatkar
Parham Mashouf
Alireza Jafari
author_sort Houman Hashemian
collection DOAJ
description Introduction. COVID-19 infection which is a novel pneumonia associated with coronavirus suddenly broke out in the world. The aim of this study is to analyze and summarize the clinical characteristics of pediatric patients who were hospitalized in a referral pediatric hospital because of COVID-19 infection. Materials and Methods. Twenty-one COVID-19 infection cases confirmed by clinical and laboratory findings who were hospitalized in our center from 20 February to 19 April 2020 were included. Demography information, clinical, laboratory, and radiological findings, and treatment strategies of patients were evaluated. Results. The mean age was 91.5±68.38 months (1-225), and there were 12 (57.1%) boys and 9 (42.9%) girls. Fever≥38°C was detected in 11 (52.4%) patients. Eleven (52.3%) patients had tachypnea, and 4 (19%) of them developed tachycardia. Nine CT scans (42.85%) demonstrated a halo sign, and patchy infiltration was seen in CT scan of 7 patients (33.33%). Furthermore, bilateral crazy-paving pattern was seen in CT scan of nine (42.85%) patients. We prescribed chloroquine in 8 (38.1%), oseltamivir in 8 (38.1%), Kaletra in 6 (28.6%), and Ribavirin in 1 (4.8%) of patients. Finally, four (19.04%) patients expired which one of them suffered from ARDS. Conclusions. We found out that boys might develop more severe cases of COVID-19, and this could be more common in school age. Manifestations might be milder than adults, and the most severe cases might be associated with underlying diseases. Also, the effectiveness of drugs in the treatment of this disease needs further study.
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spelling doaj-art-e7b04871327947b3a1b34efab50585122025-08-20T03:21:02ZengWileyInternational Journal of Pediatrics1687-97592021-01-01202110.1155/2021/1135503Pediatrics Infected with COVID-19: A Case Series Study on Pediatrics Hospitalized in a Referral Pediatric HospitalHouman Hashemian0Saeid Sadat Mansouri1Hamid Reza Badeli2Ebrahim Esmaili3Majid Asgharzadeh4Tamkin Shahraki5Neda Aligoli Ghasemabadi6Reza Falahatkar7Parham Mashouf8Alireza Jafari9Pediatric Diseases Research CenterPediatric Diseases Research CenterPediatric Diseases Research CenterPediatric Diseases Research CenterPediatric Diseases Research CenterUrology Research CenterPediatric Diseases Research CenterUrology Research CenterUrology Research CenterUrology Research CenterIntroduction. COVID-19 infection which is a novel pneumonia associated with coronavirus suddenly broke out in the world. The aim of this study is to analyze and summarize the clinical characteristics of pediatric patients who were hospitalized in a referral pediatric hospital because of COVID-19 infection. Materials and Methods. Twenty-one COVID-19 infection cases confirmed by clinical and laboratory findings who were hospitalized in our center from 20 February to 19 April 2020 were included. Demography information, clinical, laboratory, and radiological findings, and treatment strategies of patients were evaluated. Results. The mean age was 91.5±68.38 months (1-225), and there were 12 (57.1%) boys and 9 (42.9%) girls. Fever≥38°C was detected in 11 (52.4%) patients. Eleven (52.3%) patients had tachypnea, and 4 (19%) of them developed tachycardia. Nine CT scans (42.85%) demonstrated a halo sign, and patchy infiltration was seen in CT scan of 7 patients (33.33%). Furthermore, bilateral crazy-paving pattern was seen in CT scan of nine (42.85%) patients. We prescribed chloroquine in 8 (38.1%), oseltamivir in 8 (38.1%), Kaletra in 6 (28.6%), and Ribavirin in 1 (4.8%) of patients. Finally, four (19.04%) patients expired which one of them suffered from ARDS. Conclusions. We found out that boys might develop more severe cases of COVID-19, and this could be more common in school age. Manifestations might be milder than adults, and the most severe cases might be associated with underlying diseases. Also, the effectiveness of drugs in the treatment of this disease needs further study.http://dx.doi.org/10.1155/2021/1135503
spellingShingle Houman Hashemian
Saeid Sadat Mansouri
Hamid Reza Badeli
Ebrahim Esmaili
Majid Asgharzadeh
Tamkin Shahraki
Neda Aligoli Ghasemabadi
Reza Falahatkar
Parham Mashouf
Alireza Jafari
Pediatrics Infected with COVID-19: A Case Series Study on Pediatrics Hospitalized in a Referral Pediatric Hospital
International Journal of Pediatrics
title Pediatrics Infected with COVID-19: A Case Series Study on Pediatrics Hospitalized in a Referral Pediatric Hospital
title_full Pediatrics Infected with COVID-19: A Case Series Study on Pediatrics Hospitalized in a Referral Pediatric Hospital
title_fullStr Pediatrics Infected with COVID-19: A Case Series Study on Pediatrics Hospitalized in a Referral Pediatric Hospital
title_full_unstemmed Pediatrics Infected with COVID-19: A Case Series Study on Pediatrics Hospitalized in a Referral Pediatric Hospital
title_short Pediatrics Infected with COVID-19: A Case Series Study on Pediatrics Hospitalized in a Referral Pediatric Hospital
title_sort pediatrics infected with covid 19 a case series study on pediatrics hospitalized in a referral pediatric hospital
url http://dx.doi.org/10.1155/2021/1135503
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