Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study
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...
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doaj-a64ef7b0600f4862959e591abd7fefd32020-11-25T03:48:44ZengBMCBMC Pediatrics1471-24312020-05-012011810.1186/s12887-020-02140-7Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective studyYang Li0Jianghui Cao1Xiaolong Zhang2Guangzhi Liu3Xiaxia Wu4Baolin Wu5Department of Radiology, Xiangyang No. 1 People’s Hospital, Hubei University of MedicineDepartment of Radiology, Xiangyang No. 1 People’s Hospital, Hubei University of MedicineDepartment of Radiology, Taihe Hospital, Hubei University of MedicineDepartment of Neurology, Xiangyang No. 1 People’s Hospital, Hubei University of MedicineDepartment of Radiology, Xiangyang No. 1 People’s Hospital, Hubei University of MedicineHuaxi MR Research Center (HMRRC), Functional and molecular imaging Key Laboratory of Sichuan Province, Department of Radiology, West China Hospital of Sichuan UniversityAbstract 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.http://link.springer.com/article/10.1186/s12887-020-02140-7COVID-19PneumoniaSARS-CoV-2Multidetector computed tomographyChild |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yang Li Jianghui Cao Xiaolong Zhang Guangzhi Liu Xiaxia Wu Baolin Wu |
spellingShingle |
Yang Li Jianghui Cao Xiaolong Zhang Guangzhi Liu Xiaxia Wu Baolin Wu Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study BMC Pediatrics COVID-19 Pneumonia SARS-CoV-2 Multidetector computed tomography Child |
author_facet |
Yang Li Jianghui Cao Xiaolong Zhang Guangzhi Liu Xiaxia Wu Baolin Wu |
author_sort |
Yang Li |
title |
Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study |
title_short |
Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study |
title_full |
Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study |
title_fullStr |
Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study |
title_full_unstemmed |
Chest CT imaging characteristics of COVID-19 pneumonia in preschool children: a retrospective study |
title_sort |
chest ct imaging characteristics of covid-19 pneumonia in preschool children: a retrospective study |
publisher |
BMC |
series |
BMC Pediatrics |
issn |
1471-2431 |
publishDate |
2020-05-01 |
description |
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. |
topic |
COVID-19 Pneumonia SARS-CoV-2 Multidetector computed tomography Child |
url |
http://link.springer.com/article/10.1186/s12887-020-02140-7 |
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