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Coronavirus Infections in Children Including COVID-19

Identifieur interne : 002B97 ( Ncbi/Merge ); précédent : 002B96; suivant : 002B98

Coronavirus Infections in Children Including COVID-19

Auteurs : Petra Zimmermann [Australie] ; Nigel Curtis [Australie]

Source :

RBID : PMC:7158880

Abstract

Coronaviruses (CoVs) are a large family of enveloped, single-stranded, zoonotic RNA viruses. Four CoVs commonly circulate among humans: HCoV2-229E, -HKU1, -NL63 and -OC43. However, CoVs can rapidly mutate and recombine leading to novel CoVs that can spread from animals to humans. The novel CoVs severe acute respiratory syndrome coronavirus (SARS-CoV) emerged in 2002 and Middle East respiratory syndrome coronavirus (MERS-CoV) in 2012. The 2019 novel coronavirus (SARS-CoV-2) is currently causing a severe outbreak of disease (termed COVID-19) in China and multiple other countries, threatening to cause a global pandemic. In humans, CoVs mostly cause respiratory and gastrointestinal symptoms. Clinical manifestations range from a common cold to more severe disease such as bronchitis, pneumonia, severe acute respiratory distress syndrome, multi-organ failure and even death. SARS-CoV, MERS-CoV and SARS-CoV-2 seem to less commonly affect children and to cause fewer symptoms and less severe disease in this age group compared with adults, and are associated with much lower case-fatality rates. Preliminary evidence suggests children are just as likely as adults to become infected with SARS-CoV-2 but are less likely to be symptomatic or develop severe symptoms. However, the importance of children in transmitting the virus remains uncertain. Children more often have gastrointestinal symptoms compared with adults. Most children with SARS-CoV present with fever, but this is not the case for the other novel CoVs. Many children affected by MERS-CoV are asymptomatic. The majority of children infected by novel CoVs have a documented household contact, often showing symptoms before them. In contrast, adults more often have a nosocomial exposure. In this review, we summarize epidemiologic, clinical and diagnostic findings, as well as treatment and prevention options for common circulating and novel CoVs infections in humans with a focus on infections in children.


Url:
DOI: 10.1097/INF.0000000000002660
PubMed: NONE
PubMed Central: 7158880

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PMC:7158880

Le document en format XML

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<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Pediatr Infect Dis J</journal-id>
<journal-id journal-id-type="iso-abbrev">Pediatr. Infect. Dis. J</journal-id>
<journal-id journal-id-type="publisher-id">INF</journal-id>
<journal-title-group>
<journal-title>The Pediatric Infectious Disease Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">0891-3668</issn>
<issn pub-type="epub">1532-0987</issn>
<publisher>
<publisher-name>Williams & Wilkins</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmc">7158880</article-id>
<article-id pub-id-type="art-access-id">00001</article-id>
<article-id pub-id-type="doi">10.1097/INF.0000000000002660</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Special Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Coronavirus Infections in Children Including COVID-19</article-title>
<subtitle>An Overview of the Epidemiology, Clinical Features, Diagnosis, Treatment and Prevention Options in Children</subtitle>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zimmermann</surname>
<given-names>Petra</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff1">*</xref>
<xref ref-type="aff" rid="aff2"></xref>
<xref ref-type="aff" rid="aff3"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Curtis</surname>
<given-names>Nigel</given-names>
</name>
<degrees>FRCPCH, PhD</degrees>
<xref ref-type="aff" rid="aff2"></xref>
<xref ref-type="aff" rid="aff3"></xref>
<xref ref-type="aff" rid="aff4">§</xref>
</contrib>
<aff id="aff1">From the
<label>*</label>
Department of Paediatrics, Fribourg Hospital HFR and Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland</aff>
<aff id="aff2">
<label></label>
Department of Paediatrics, The University of Melbourne</aff>
<aff id="aff3">
<label></label>
Infectious Diseases Research Group, Murdoch Children’s Research Institute</aff>
<aff id="aff4">
<label>§</label>
Infectious Diseases Unit, The Royal Children’s Hospital Melbourne, Parkville, Victoria, Australia.</aff>
</contrib-group>
<author-notes>
<corresp id="c1">Address for correspondence: Petra Zimmermann, MD, PhD, Faculty of Science and Medicine, University of Fribourg, Route des Arsenaux 41, 1700 Fribourg, Switzerland. E-mail:
<email xlink:href="petra.zimmermann@unifr.ch">petra.zimmermann@unifr.ch</email>
.</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>3</month>
<year>2020</year>
</pub-date>
<volume>39</volume>
<issue>5</issue>
<fpage>355</fpage>
<lpage>368</lpage>
<history>
<date date-type="accepted">
<day>03</day>
<month>3</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.</copyright-statement>
<copyright-year>2020</copyright-year>
<license license-type="open-access">
<license-p>This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.</license-p>
</license>
<license license-type="NIH OGC">
<license-p>This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.</license-p>
</license>
</permissions>
<self-uri xlink:type="simple" xlink:href="inf-39-355.pdf"></self-uri>
<abstract>
<p>Coronaviruses (CoVs) are a large family of enveloped, single-stranded, zoonotic RNA viruses. Four CoVs commonly circulate among humans: HCoV2-229E, -HKU1, -NL63 and -OC43. However, CoVs can rapidly mutate and recombine leading to novel CoVs that can spread from animals to humans. The novel CoVs severe acute respiratory syndrome coronavirus (SARS-CoV) emerged in 2002 and Middle East respiratory syndrome coronavirus (MERS-CoV) in 2012. The 2019 novel coronavirus (SARS-CoV-2) is currently causing a severe outbreak of disease (termed COVID-19) in China and multiple other countries, threatening to cause a global pandemic. In humans, CoVs mostly cause respiratory and gastrointestinal symptoms. Clinical manifestations range from a common cold to more severe disease such as bronchitis, pneumonia, severe acute respiratory distress syndrome, multi-organ failure and even death. SARS-CoV, MERS-CoV and SARS-CoV-2 seem to less commonly affect children and to cause fewer symptoms and less severe disease in this age group compared with adults, and are associated with much lower case-fatality rates. Preliminary evidence suggests children are just as likely as adults to become infected with SARS-CoV-2 but are less likely to be symptomatic or develop severe symptoms. However, the importance of children in transmitting the virus remains uncertain. Children more often have gastrointestinal symptoms compared with adults. Most children with SARS-CoV present with fever, but this is not the case for the other novel CoVs. Many children affected by MERS-CoV are asymptomatic. The majority of children infected by novel CoVs have a documented household contact, often showing symptoms before them. In contrast, adults more often have a nosocomial exposure. In this review, we summarize epidemiologic, clinical and diagnostic findings, as well as treatment and prevention options for common circulating and novel CoVs infections in humans with a focus on infections in children.</p>
</abstract>
<kwd-group>
<kwd>severe acute respiratory syndrome coronavirus</kwd>
<kwd>Middle East respiratory syndrome coronavirus</kwd>
<kwd>severe acute respiratory syndrome coronavirus 2</kwd>
<kwd>epidemiology</kwd>
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<kwd>laboratory</kwd>
<kwd>imaging</kwd>
<kwd>treatment</kwd>
<kwd>vaccines</kwd>
<kwd>prevention</kwd>
<kwd>treatment</kwd>
<kwd>vaccines</kwd>
<kwd>prevention</kwd>
<kwd>SARS-CoV</kwd>
<kwd>MERS-CoV</kwd>
<kwd>SARS-CoV-2</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Australie</li>
</country>
<region>
<li>Victoria (État)</li>
</region>
<settlement>
<li>Melbourne</li>
</settlement>
<orgName>
<li>Université de Melbourne</li>
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<name sortKey="Curtis, Nigel" sort="Curtis, Nigel" uniqKey="Curtis N" first="Nigel" last="Curtis">Nigel Curtis</name>
<name sortKey="Curtis, Nigel" sort="Curtis, Nigel" uniqKey="Curtis N" first="Nigel" last="Curtis">Nigel Curtis</name>
</country>
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</affiliations>
</record>

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