Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding
Identifieur interne : 000340 ( Pmc/Checkpoint ); précédent : 000339; suivant : 000341Characteristics 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, États-Unis] ; 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 [ 1078-8956 ] ; 2020.
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.
Url:
DOI: 10.1038/s41591-020-0817-4
PubMed: NONE
PubMed Central: 7095102
Affiliations:
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xml:lang="en" level="a" type="main">Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding</title><author><name sortKey="Xu, Yi" sort="Xu, Yi" uniqKey="Xu Y" first="Yi" last="Xu">Yi Xu</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Pediatric, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Li, Xufang" sort="Li, Xufang" uniqKey="Li X" first="Xufang" last="Li">Xufang Li</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Pediatric, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Zhu, Bing" sort="Zhu, Bing" uniqKey="Zhu B" first="Bing" last="Zhu">Bing Zhu</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Center Laboratory, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Liang, Huiying" sort="Liang, Huiying" uniqKey="Liang H" first="Huiying" last="Liang">Huiying Liang</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Clinical Data Center, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id 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populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Gong, Yu" sort="Gong, Yu" uniqKey="Gong Y" first="Yu" last="Gong">Yu Gong</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Pediatric, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Guo, Qiaozhi" sort="Guo, Qiaozhi" uniqKey="Guo Q" first="Qiaozhi" last="Guo">Qiaozhi Guo</name><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Medical Administration, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Sun, Xin" sort="Sun, Xin" uniqKey="Sun X" first="Xin" last="Sun">Xin Sun</name><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Medical Administration, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Zhao, Danyang" sort="Zhao, Danyang" uniqKey="Zhao D" first="Danyang" last="Zhao">Danyang Zhao</name><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Medical Administration, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Shen, Jun" sort="Shen, Jun" uniqKey="Shen J" first="Jun" last="Shen">Jun Shen</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id 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China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Guangdong Provincial Children’s Medical Research Center, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0680 8770</institution-id><institution-id institution-id-type="GRID">grid.239552.a</institution-id><institution>Division of Neonatology and Department of Pediatrics,</institution><institution>Children’s Hospital of Philadelphia and University of Pennsylvania,</institution></institution-wrap>Philadelphia, PA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Liu, Hongsheng" sort="Liu, Hongsheng" uniqKey="Liu H" first="Hongsheng" last="Liu">Hongsheng Liu</name><affiliation wicri:level="1"><nlm:aff id="Aff7"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Radiology, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Xia, Huimin" sort="Xia, Huimin" uniqKey="Xia H" first="Huimin" last="Xia">Huimin Xia</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Clinical Data Center, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Guangdong Provincial Children’s Medical Research Center, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff8"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Guangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Tang, Jinling" sort="Tang, Jinling" uniqKey="Tang J" first="Jinling" last="Tang">Jinling Tang</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Clinical Data Center, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Guangdong Provincial Children’s Medical Research Center, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Zhang, Kang" sort="Zhang, Kang" uniqKey="Zhang K" first="Kang" last="Zhang">Kang Zhang</name><affiliation wicri:level="1"><nlm:aff id="Aff8"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Guangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff9">Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff10">Center for Biomedicine and Innovations, Faculty of Medicine, Macau University of Science and Technology, Macau, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Center for Biomedicine and Innovations, Faculty of Medicine, Macau University of Science and Technology, Macau</wicri:regionArea><wicri:noRegion>Macau</wicri:noRegion></affiliation></author><author><name sortKey="Gong, Sitang" sort="Gong, Sitang" uniqKey="Gong S" first="Sitang" last="Gong">Sitang Gong</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Pediatric, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Guangdong Provincial Children’s Medical Research Center, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author></analytic><series><title level="j">Nature Medicine</title><idno type="ISSN">1078-8956</idno><idno type="eISSN">1546-170X</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="Par1">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.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wang, C" uniqKey="Wang C">C Wang</name></author><author><name sortKey="Horby, Pw" uniqKey="Horby P">PW Horby</name></author><author><name sortKey="Hayden, Fg" uniqKey="Hayden F">FG Hayden</name></author><author><name sortKey="Gao, Gf" uniqKey="Gao G">GF Gao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Munster, Vj" uniqKey="Munster V">VJ Munster</name></author><author><name sortKey="Koopmans, M" uniqKey="Koopmans M">M Koopmans</name></author><author><name sortKey="Van Doremalen, N" uniqKey="Van Doremalen N">N van Doremalen</name></author><author><name sortKey="Van Riel, D" uniqKey="Van Riel D">D van Riel</name></author><author><name sortKey="De Wit, E" uniqKey="De Wit E">E de Wit</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chen, N" uniqKey="Chen N">N Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huang, C" uniqKey="Huang C">C Huang</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Zhu, N" uniqKey="Zhu N">N Zhu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holshue, Ml" uniqKey="Holshue M">ML Holshue</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Zhu, Z" uniqKey="Zhu Z">Z Zhu</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Nat Med</journal-id><journal-id journal-id-type="iso-abbrev">Nat. Med</journal-id><journal-title-group><journal-title>Nature Medicine</journal-title></journal-title-group><issn pub-type="ppub">1078-8956</issn><issn pub-type="epub">1546-170X</issn><publisher><publisher-name>Nature Publishing Group US</publisher-name><publisher-loc>New York</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7095102</article-id><article-id pub-id-type="publisher-id">817</article-id><article-id pub-id-type="doi">10.1038/s41591-020-0817-4</article-id><article-categories><subj-group subj-group-type="heading"><subject>Brief Communication</subject></subj-group></article-categories><title-group><article-title>Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding</article-title></title-group><contrib-group><contrib contrib-type="author" equal-contrib="yes"><name><surname>Xu</surname><given-names>Yi</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name><surname>Li</surname><given-names>Xufang</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name><surname>Zhu</surname><given-names>Bing</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name><surname>Liang</surname><given-names>Huiying</given-names></name><xref ref-type="aff" rid="Aff3">3</xref><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Fang</surname><given-names>Chunxiao</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Gong</surname><given-names>Yu</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Guo</surname><given-names>Qiaozhi</given-names></name><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><name><surname>Sun</surname><given-names>Xin</given-names></name><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><name><surname>Zhao</surname><given-names>Danyang</given-names></name><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><name><surname>Shen</surname><given-names>Jun</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0003-0843-8448</contrib-id><name><surname>Zhang</surname><given-names>Huayan</given-names></name><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff4">4</xref><xref ref-type="aff" rid="Aff6">6</xref></contrib><contrib contrib-type="author"><name><surname>Liu</surname><given-names>Hongsheng</given-names></name><xref ref-type="aff" rid="Aff7">7</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Xia</surname><given-names>Huimin</given-names></name><address><email>huiminxia@hotmail.com</email></address><xref ref-type="aff" rid="Aff3">3</xref><xref ref-type="aff" rid="Aff4">4</xref><xref ref-type="aff" rid="Aff8">8</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Tang</surname><given-names>Jinling</given-names></name><address><email>jltang@cuhk.edu.hk</email></address><xref ref-type="aff" rid="Aff3">3</xref><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-4549-1697</contrib-id><name><surname>Zhang</surname><given-names>Kang</given-names></name><address><email>kang.zhang@gmail.com</email></address><xref ref-type="aff" rid="Aff8">8</xref><xref ref-type="aff" rid="Aff9">9</xref><xref ref-type="aff" rid="Aff10">10</xref></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-6899-0616</contrib-id><name><surname>Gong</surname><given-names>Sitang</given-names></name><address><email>sitangg@126.com</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff4">4</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Pediatric, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Center Laboratory, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Clinical Data Center, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</aff><aff id="Aff4"><label>4</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Guangdong Provincial Children’s Medical Research Center, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</aff><aff id="Aff5"><label>5</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Medical Administration, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</aff><aff id="Aff6"><label>6</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0680 8770</institution-id><institution-id institution-id-type="GRID">grid.239552.a</institution-id><institution>Division of Neonatology and Department of Pediatrics,</institution><institution>Children’s Hospital of Philadelphia and University of Pennsylvania,</institution></institution-wrap>Philadelphia, PA USA</aff><aff id="Aff7"><label>7</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Department of Radiology, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</aff><aff id="Aff8"><label>8</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8653 1072</institution-id><institution-id institution-id-type="GRID">grid.410737.6</institution-id><institution>Guangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Guangzhou Women and Children’s Medical Center,</institution><institution>Guangzhou Medical University,</institution></institution-wrap>Guangzhou, China</aff><aff id="Aff9"><label>9</label>Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Guangzhou, China</aff><aff id="Aff10"><label>10</label>Center for Biomedicine and Innovations, Faculty of Medicine, Macau University of Science and Technology, Macau, China</aff></contrib-group><pub-date pub-type="epub"><day>13</day><month>3</month><year>2020</year></pub-date><fpage>1</fpage><lpage>4</lpage><history><date date-type="received"><day>10</day><month>2</month><year>2020</year></date><date date-type="accepted"><day>2</day><month>3</month><year>2020</year></date></history><permissions><copyright-statement>© The Author(s), under exclusive licence to Springer Nature America, Inc. 2020</copyright-statement><license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p></license></permissions><abstract id="Abs1"><p id="Par1">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.</p></abstract><abstract id="Abs2" abstract-type="web-summary"><p id="Par2">Children infected with the COVID-19 outbreak coronavirus, SARS-CoV-2, show mild symptoms but prolonged shedding of viral RNA in feces, suggesting that the fecal–oral route might play a role in virus transmission.</p></abstract><kwd-group kwd-group-type="npg-subject"><title>Subject terms</title><kwd>Paediatrics</kwd><kwd>Public health</kwd></kwd-group><funding-group><award-group><funding-source><institution>National Key Research and Development Program of China (2019YFB1404803) Guangzhou Regenerative Medicine Guangdong Laboratory</institution></funding-source></award-group></funding-group></article-meta></front></pmc><affiliations><list><country><li>République populaire de Chine</li><li>États-Unis</li></country><region><li>Guangdong</li><li>Pennsylvanie</li></region><settlement><li>Jiangmen</li></settlement></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Xu, Yi" sort="Xu, Yi" uniqKey="Xu Y" first="Yi" last="Xu">Yi Xu</name></noRegion><name sortKey="Fang, Chunxiao" sort="Fang, Chunxiao" uniqKey="Fang C" first="Chunxiao" last="Fang">Chunxiao Fang</name><name sortKey="Gong, Sitang" sort="Gong, Sitang" uniqKey="Gong S" first="Sitang" last="Gong">Sitang Gong</name><name sortKey="Gong, Sitang" sort="Gong, Sitang" uniqKey="Gong S" first="Sitang" last="Gong">Sitang Gong</name><name sortKey="Gong, Yu" sort="Gong, Yu" uniqKey="Gong Y" first="Yu" last="Gong">Yu Gong</name><name sortKey="Guo, Qiaozhi" sort="Guo, Qiaozhi" uniqKey="Guo Q" first="Qiaozhi" last="Guo">Qiaozhi Guo</name><name sortKey="Li, Xufang" sort="Li, Xufang" uniqKey="Li X" first="Xufang" last="Li">Xufang Li</name><name sortKey="Liang, Huiying" sort="Liang, Huiying" uniqKey="Liang H" first="Huiying" last="Liang">Huiying Liang</name><name sortKey="Liang, Huiying" sort="Liang, Huiying" uniqKey="Liang H" first="Huiying" last="Liang">Huiying Liang</name><name sortKey="Liu, Hongsheng" sort="Liu, Hongsheng" uniqKey="Liu H" first="Hongsheng" last="Liu">Hongsheng Liu</name><name sortKey="Shen, Jun" sort="Shen, Jun" uniqKey="Shen J" first="Jun" last="Shen">Jun Shen</name><name sortKey="Sun, Xin" sort="Sun, Xin" uniqKey="Sun X" first="Xin" last="Sun">Xin Sun</name><name sortKey="Tang, Jinling" sort="Tang, Jinling" uniqKey="Tang J" first="Jinling" last="Tang">Jinling Tang</name><name sortKey="Tang, Jinling" sort="Tang, Jinling" uniqKey="Tang J" first="Jinling" last="Tang">Jinling Tang</name><name sortKey="Xia, Huimin" sort="Xia, Huimin" uniqKey="Xia H" first="Huimin" last="Xia">Huimin Xia</name><name sortKey="Xia, Huimin" sort="Xia, Huimin" uniqKey="Xia H" first="Huimin" last="Xia">Huimin Xia</name><name sortKey="Xia, Huimin" sort="Xia, Huimin" uniqKey="Xia H" first="Huimin" last="Xia">Huimin Xia</name><name sortKey="Zhang, Huayan" sort="Zhang, Huayan" uniqKey="Zhang H" first="Huayan" last="Zhang">Huayan Zhang</name><name sortKey="Zhang, Huayan" sort="Zhang, Huayan" uniqKey="Zhang H" first="Huayan" last="Zhang">Huayan Zhang</name><name sortKey="Zhang, Kang" sort="Zhang, Kang" uniqKey="Zhang K" first="Kang" last="Zhang">Kang Zhang</name><name sortKey="Zhang, Kang" sort="Zhang, Kang" uniqKey="Zhang K" first="Kang" last="Zhang">Kang Zhang</name><name sortKey="Zhang, Kang" sort="Zhang, Kang" uniqKey="Zhang K" first="Kang" last="Zhang">Kang Zhang</name><name sortKey="Zhao, Danyang" sort="Zhao, Danyang" uniqKey="Zhao D" first="Danyang" last="Zhao">Danyang Zhao</name><name sortKey="Zhu, Bing" sort="Zhu, Bing" uniqKey="Zhu B" first="Bing" last="Zhu">Bing Zhu</name></country><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Zhang, Huayan" sort="Zhang, Huayan" uniqKey="Zhang H" first="Huayan" last="Zhang">Huayan Zhang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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