Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding.
Identifieur interne : 003942 ( Ncbi/Curation ); précédent : 003941; suivant : 003943Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding.
Auteurs : Yi Xu [République populaire de Chine] ; Xufang Li [République populaire de Chine] ; Bing Zhu [République populaire de Chine] ; Huiying Liang [République populaire de Chine] ; Chunxiao Fang [République populaire de Chine] ; Yu Gong [République populaire de Chine] ; Qiaozhi Guo [République populaire de Chine] ; Xin Sun [République populaire de Chine] ; Danyang Zhao [République populaire de Chine] ; Jun Shen [République populaire de Chine] ; Huayan Zhang [République populaire de Chine] ; Hongsheng Liu [République populaire de Chine] ; Huimin Xia [République populaire de Chine] ; Jinling Tang [République populaire de Chine] ; Kang Zhang [République populaire de Chine] ; Sitang Gong [République populaire de Chine]Source :
- Nature medicine [ 1546-170X ] ; 2020.
Descripteurs français
- KwdFr :
- Enfant, Enfant d'âge préscolaire, Excrétion virale, Femelle, Fèces (virologie), Humains, Infections à coronavirus (), Infections à coronavirus (diagnostic), Infections à coronavirus (virologie), Mâle, Nourrisson, Pandémies, Partie nasale du pharynx (virologie), Pneumopathie virale (), Pneumopathie virale (diagnostic), Pneumopathie virale (virologie), Radiographie thoracique, Rectum (virologie), Réaction de polymérisation en chaine en temps réel, Techniques de laboratoire clinique.
- MESH :
- diagnostic : Infections à coronavirus, Pneumopathie virale.
- virologie : Fèces, Infections à coronavirus, Partie nasale du pharynx, Pneumopathie virale, Rectum.
- Enfant, Enfant d'âge préscolaire, Excrétion virale, Femelle, Humains, Infections à coronavirus, Mâle, Nourrisson, Pandémies, Pneumopathie virale, Radiographie thoracique, Réaction de polymérisation en chaine en temps réel, Techniques de laboratoire clinique.
English descriptors
- KwdEn :
- Betacoronavirus (genetics), Betacoronavirus (isolation & purification), Child, Child, Preschool, Clinical Laboratory Techniques, Coronavirus Infections (complications), Coronavirus Infections (diagnosis), Coronavirus Infections (virology), Feces (virology), Female, Humans, Infant, Male, Nasopharynx (virology), Pandemics, Pneumonia, Viral (complications), Pneumonia, Viral (diagnosis), Pneumonia, Viral (virology), Radiography, Thoracic, Real-Time Polymerase Chain Reaction, Rectum (virology), Virus Shedding.
- MESH :
- complications : Coronavirus Infections, Pneumonia, Viral.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- genetics : Betacoronavirus.
- isolation & purification : Betacoronavirus.
- virology : Coronavirus Infections, Feces, Nasopharynx, Pneumonia, Viral, Rectum.
- Child, Child, Preschool, Clinical Laboratory Techniques, Female, Humans, Infant, Male, Pandemics, Radiography, Thoracic, Real-Time Polymerase Chain Reaction, Virus Shedding.
Abstract
We report epidemiological and clinical investigations on ten pediatric SARS-CoV-2 infection cases confirmed by real-time reverse transcription PCR assay of SARS-CoV-2 RNA. Symptoms in these cases were nonspecific and no children required respiratory support or intensive care. Chest X-rays lacked definite signs of pneumonia, a defining feature of the infection in adult cases. Notably, eight children persistently tested positive on rectal swabs even after nasopharyngeal testing was negative, raising the possibility of fecal-oral transmission.
DOI: 10.1038/s41591-020-0817-4
PubMed: 32284613
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type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Guo, Qiaozhi" sort="Guo, Qiaozhi" uniqKey="Guo Q" first="Qiaozhi" last="Guo">Qiaozhi Guo</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Sun, Xin" sort="Sun, Xin" uniqKey="Sun X" first="Xin" last="Sun">Xin Sun</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Zhao, Danyang" sort="Zhao, Danyang" uniqKey="Zhao D" first="Danyang" last="Zhao">Danyang Zhao</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement 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Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Li, Xufang" sort="Li, Xufang" uniqKey="Li X" first="Xufang" last="Li">Xufang Li</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Zhu, Bing" sort="Zhu, Bing" uniqKey="Zhu B" first="Bing" last="Zhu">Bing Zhu</name><affiliation wicri:level="3"><nlm:affiliation>Department of Center Laboratory, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Center Laboratory, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Liang, Huiying" sort="Liang, Huiying" uniqKey="Liang H" first="Huiying" last="Liang">Huiying Liang</name><affiliation wicri:level="3"><nlm:affiliation>Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Fang, Chunxiao" sort="Fang, Chunxiao" uniqKey="Fang C" first="Chunxiao" last="Fang">Chunxiao Fang</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Gong, Yu" sort="Gong, Yu" uniqKey="Gong Y" first="Yu" last="Gong">Yu Gong</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Guo, Qiaozhi" sort="Guo, Qiaozhi" uniqKey="Guo Q" first="Qiaozhi" last="Guo">Qiaozhi Guo</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Sun, Xin" sort="Sun, Xin" uniqKey="Sun X" first="Xin" last="Sun">Xin Sun</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Zhao, Danyang" sort="Zhao, Danyang" uniqKey="Zhao D" first="Danyang" last="Zhao">Danyang Zhao</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medical Administration, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Shen, Jun" sort="Shen, Jun" uniqKey="Shen J" first="Jun" last="Shen">Jun Shen</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Zhang, Huayan" sort="Zhang, Huayan" uniqKey="Zhang H" first="Huayan" last="Zhang">Huayan Zhang</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Liu, Hongsheng" sort="Liu, Hongsheng" uniqKey="Liu H" first="Hongsheng" last="Liu">Hongsheng Liu</name><affiliation wicri:level="3"><nlm:affiliation>Department of Radiology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Xia, Huimin" sort="Xia, Huimin" uniqKey="Xia H" first="Huimin" last="Xia">Huimin Xia</name><affiliation wicri:level="3"><nlm:affiliation>Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. huiminxia@hotmail.com.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Tang, Jinling" sort="Tang, Jinling" uniqKey="Tang J" first="Jinling" last="Tang">Jinling Tang</name><affiliation wicri:level="3"><nlm:affiliation>Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. jltang@cuhk.edu.hk.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Zhang, Kang" sort="Zhang, Kang" uniqKey="Zhang K" first="Kang" last="Zhang">Kang Zhang</name><affiliation wicri:level="3"><nlm:affiliation>Guangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. kang.zhang@gmail.com.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Gong, Sitang" sort="Gong, Sitang" uniqKey="Gong S" first="Sitang" last="Gong">Sitang Gong</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. sitangg@126.com.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pediatric, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author></analytic><series><title level="j">Nature medicine</title><idno type="eISSN">1546-170X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Betacoronavirus (genetics)</term><term>Betacoronavirus (isolation & purification)</term><term>Child</term><term>Child, Preschool</term><term>Clinical Laboratory Techniques</term><term>Coronavirus Infections (complications)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (virology)</term><term>Feces (virology)</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Nasopharynx (virology)</term><term>Pandemics</term><term>Pneumonia, Viral (complications)</term><term>Pneumonia, Viral (diagnosis)</term><term>Pneumonia, Viral (virology)</term><term>Radiography, Thoracic</term><term>Real-Time Polymerase Chain Reaction</term><term>Rectum (virology)</term><term>Virus Shedding</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Excrétion virale</term><term>Femelle</term><term>Fèces (virologie)</term><term>Humains</term><term>Infections à coronavirus ()</term><term>Infections à coronavirus (diagnostic)</term><term>Infections à coronavirus (virologie)</term><term>Mâle</term><term>Nourrisson</term><term>Pandémies</term><term>Partie nasale du pharynx (virologie)</term><term>Pneumopathie virale ()</term><term>Pneumopathie virale (diagnostic)</term><term>Pneumopathie virale (virologie)</term><term>Radiographie thoracique</term><term>Rectum (virologie)</term><term>Réaction de polymérisation en chaine en temps réel</term><term>Techniques de laboratoire clinique</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Fèces</term><term>Infections à coronavirus</term><term>Partie nasale du pharynx</term><term>Pneumopathie virale</term><term>Rectum</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term><term>Feces</term><term>Nasopharynx</term><term>Pneumonia, Viral</term><term>Rectum</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Child, Preschool</term><term>Clinical Laboratory Techniques</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Pandemics</term><term>Radiography, Thoracic</term><term>Real-Time Polymerase Chain Reaction</term><term>Virus Shedding</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Excrétion virale</term><term>Femelle</term><term>Humains</term><term>Infections à coronavirus</term><term>Mâle</term><term>Nourrisson</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Radiographie thoracique</term><term>Réaction de polymérisation en chaine en temps réel</term><term>Techniques de laboratoire clinique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We report epidemiological and clinical investigations on ten pediatric SARS-CoV-2 infection cases confirmed by real-time reverse transcription PCR assay of SARS-CoV-2 RNA. Symptoms in these cases were nonspecific and no children required respiratory support or intensive care. Chest X-rays lacked definite signs of pneumonia, a defining feature of the infection in adult cases. Notably, eight children persistently tested positive on rectal swabs even after nasopharyngeal testing was negative, raising the possibility of fecal-oral transmission.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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