The different clinical characteristics of corona virus disease cases between children and their families in China - the character of children with COVID-19.
Identifieur interne : 000522 ( PubMed/Corpus ); précédent : 000521; suivant : 000523The different clinical characteristics of corona virus disease cases between children and their families in China - the character of children with COVID-19.
Auteurs : Liang Su ; Xiang Ma ; Huafeng Yu ; Zhaohua Zhang ; Pengfei Bian ; Yuling Han ; Jing Sun ; Yanqin Liu ; Chun Yang ; Jin Geng ; Zhongfa Zhang ; Zhongtao GaiSource :
- Emerging microbes & infections [ 2222-1751 ] ; 2020.
English descriptors
- KwdEn :
- Adult, Betacoronavirus, Chest Pain, Child, Child, Preschool, China, Clinical Laboratory Techniques, Coronavirus Infections (diagnosis), Coronavirus Infections (diagnostic imaging), Coronavirus Infections (physiopathology), Cough, Family Health, Feces (virology), Female, Fever, Humans, Infant, Lung (diagnostic imaging), Male, Pandemics, Pneumonia, Viral (diagnosis), Pneumonia, Viral (diagnostic imaging), Pneumonia, Viral (physiopathology), Polymerase Chain Reaction, Prognosis, Retrospective Studies.
- MESH :
- geographic : China.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- diagnostic imaging : Coronavirus Infections, Lung, Pneumonia, Viral.
- physiopathology : Coronavirus Infections, Pneumonia, Viral.
- virology : Feces.
- Adult, Betacoronavirus, Chest Pain, Child, Child, Preschool, Clinical Laboratory Techniques, Cough, Family Health, Female, Fever, Humans, Infant, Male, Pandemics, Polymerase Chain Reaction, Prognosis, Retrospective Studies.
Abstract
This study aims to analyze the different clinical characteristics between children and their families infected with severe acute respiratory syndrome coronavirus 2. Clinical data from nine children and their 14 families were collected, including general status, clinical, laboratory test, and imaging characteristics. All the children were detected positive result after their families onset. Three children had fever (22.2%) or cough (11.2%) symptoms and six (66.7%) children had no symptom. Among the 14 adult patients, the major symptoms included fever (57.1%), cough (35.7%), chest tightness/pain (21.4%), fatigue (21.4%) and sore throat (7.1%). Nearly 70% of the patients had normal (71.4%) or decreased (28.6%) white blood cell counts, and 50% (7/14) had lymphocytopenia. There were 10 adults (71.4%) showed abnormal imaging. The main manifestations were pulmonary consolidation (70%), nodular shadow (50%), and ground glass opacity (50%). Five discharged children were admitted again because their stool showed positive result in SARS-CoV-2 PCR. COVID-19 in children is mainly caused by family transmission, and their symptoms are mild and prognosis is better than adult. However, their PCR result in stool showed longer time than their families. Because of the mild or asymptomatic clinical process, it is difficult to recognize early for pediatrician and public health staff.
DOI: 10.1080/22221751.2020.1744483
PubMed: 32208917
Links to Exploration step
pubmed:32208917Le document en format XML
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Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Zhaohua" sort="Zhang, Zhaohua" uniqKey="Zhang Z" first="Zhaohua" last="Zhang">Zhaohua Zhang</name><affiliation><nlm:affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Bian, Pengfei" sort="Bian, Pengfei" uniqKey="Bian P" first="Pengfei" last="Bian">Pengfei Bian</name><affiliation><nlm:affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Han, Yuling" sort="Han, Yuling" uniqKey="Han Y" first="Yuling" last="Han">Yuling Han</name><affiliation><nlm:affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Sun, Jing" sort="Sun, Jing" uniqKey="Sun J" first="Jing" last="Sun">Jing Sun</name><affiliation><nlm:affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Liu, Yanqin" sort="Liu, Yanqin" uniqKey="Liu Y" first="Yanqin" last="Liu">Yanqin Liu</name><affiliation><nlm:affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Yang, Chun" sort="Yang, Chun" uniqKey="Yang C" first="Chun" last="Yang">Chun Yang</name><affiliation><nlm:affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Geng, Jin" sort="Geng, Jin" 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Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Yu, Huafeng" sort="Yu, Huafeng" uniqKey="Yu H" first="Huafeng" last="Yu">Huafeng Yu</name><affiliation><nlm:affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Zhaohua" sort="Zhang, Zhaohua" uniqKey="Zhang Z" first="Zhaohua" last="Zhang">Zhaohua Zhang</name><affiliation><nlm:affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Bian, Pengfei" sort="Bian, Pengfei" uniqKey="Bian P" first="Pengfei" last="Bian">Pengfei Bian</name><affiliation><nlm:affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Han, Yuling" sort="Han, Yuling" uniqKey="Han Y" first="Yuling" last="Han">Yuling Han</name><affiliation><nlm:affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Sun, Jing" sort="Sun, Jing" uniqKey="Sun J" first="Jing" last="Sun">Jing Sun</name><affiliation><nlm:affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Liu, Yanqin" sort="Liu, Yanqin" uniqKey="Liu Y" first="Yanqin" last="Liu">Yanqin Liu</name><affiliation><nlm:affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Yang, Chun" sort="Yang, Chun" uniqKey="Yang C" first="Chun" last="Yang">Chun Yang</name><affiliation><nlm:affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Geng, Jin" sort="Geng, Jin" uniqKey="Geng J" first="Jin" last="Geng">Jin Geng</name><affiliation><nlm:affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Zhongfa" sort="Zhang, Zhongfa" uniqKey="Zhang Z" first="Zhongfa" last="Zhang">Zhongfa Zhang</name><affiliation><nlm:affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author><author><name sortKey="Gai, Zhongtao" sort="Gai, Zhongtao" uniqKey="Gai Z" first="Zhongtao" last="Gai">Zhongtao Gai</name><affiliation><nlm:affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Emerging microbes & infections</title><idno type="eISSN">2222-1751</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Betacoronavirus</term><term>Chest Pain</term><term>Child</term><term>Child, Preschool</term><term>China</term><term>Clinical Laboratory Techniques</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (diagnostic imaging)</term><term>Coronavirus Infections (physiopathology)</term><term>Cough</term><term>Family Health</term><term>Feces (virology)</term><term>Female</term><term>Fever</term><term>Humans</term><term>Infant</term><term>Lung (diagnostic imaging)</term><term>Male</term><term>Pandemics</term><term>Pneumonia, Viral (diagnosis)</term><term>Pneumonia, Viral (diagnostic imaging)</term><term>Pneumonia, Viral (physiopathology)</term><term>Polymerase Chain Reaction</term><term>Prognosis</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>China</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Coronavirus Infections</term><term>Lung</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Feces</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Betacoronavirus</term><term>Chest Pain</term><term>Child</term><term>Child, Preschool</term><term>Clinical Laboratory Techniques</term><term>Cough</term><term>Family Health</term><term>Female</term><term>Fever</term><term>Humans</term><term>Infant</term><term>Male</term><term>Pandemics</term><term>Polymerase Chain Reaction</term><term>Prognosis</term><term>Retrospective Studies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study aims to analyze the different clinical characteristics between children and their families infected with severe acute respiratory syndrome coronavirus 2. Clinical data from nine children and their 14 families were collected, including general status, clinical, laboratory test, and imaging characteristics. All the children were detected positive result after their families onset. Three children had fever (22.2%) or cough (11.2%) symptoms and six (66.7%) children had no symptom. Among the 14 adult patients, the major symptoms included fever (57.1%), cough (35.7%), chest tightness/pain (21.4%), fatigue (21.4%) and sore throat (7.1%). Nearly 70% of the patients had normal (71.4%) or decreased (28.6%) white blood cell counts, and 50% (7/14) had lymphocytopenia. There were 10 adults (71.4%) showed abnormal imaging. The main manifestations were pulmonary consolidation (70%), nodular shadow (50%), and ground glass opacity (50%). Five discharged children were admitted again because their stool showed positive result in SARS-CoV-2 PCR. COVID-19 in children is mainly caused by family transmission, and their symptoms are mild and prognosis is better than adult. However, their PCR result in stool showed longer time than their families. Because of the mild or asymptomatic clinical process, it is difficult to recognize early for pediatrician and public health staff.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32208917</PMID><DateCompleted><Year>2020</Year><Month>04</Month><Day>07</Day></DateCompleted><DateRevised><Year>2020</Year><Month>04</Month><Day>08</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2222-1751</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><Issue>1</Issue><PubDate><Year>2020</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Emerging microbes & infections</Title><ISOAbbreviation>Emerg Microbes Infect</ISOAbbreviation></Journal><ArticleTitle>The different clinical characteristics of corona virus disease cases between children and their families in China - the character of children with COVID-19.</ArticleTitle><Pagination><MedlinePgn>707-713</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/22221751.2020.1744483</ELocationID><Abstract><AbstractText>This study aims to analyze the different clinical characteristics between children and their families infected with severe acute respiratory syndrome coronavirus 2. Clinical data from nine children and their 14 families were collected, including general status, clinical, laboratory test, and imaging characteristics. All the children were detected positive result after their families onset. Three children had fever (22.2%) or cough (11.2%) symptoms and six (66.7%) children had no symptom. Among the 14 adult patients, the major symptoms included fever (57.1%), cough (35.7%), chest tightness/pain (21.4%), fatigue (21.4%) and sore throat (7.1%). Nearly 70% of the patients had normal (71.4%) or decreased (28.6%) white blood cell counts, and 50% (7/14) had lymphocytopenia. There were 10 adults (71.4%) showed abnormal imaging. The main manifestations were pulmonary consolidation (70%), nodular shadow (50%), and ground glass opacity (50%). Five discharged children were admitted again because their stool showed positive result in SARS-CoV-2 PCR. COVID-19 in children is mainly caused by family transmission, and their symptoms are mild and prognosis is better than adult. However, their PCR result in stool showed longer time than their families. Because of the mild or asymptomatic clinical process, it is difficult to recognize early for pediatrician and public health staff.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Su</LastName><ForeName>Liang</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ma</LastName><ForeName>Xiang</ForeName><Initials>X</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-6139-4355</Identifier><AffiliationInfo><Affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yu</LastName><ForeName>Huafeng</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Zhaohua</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bian</LastName><ForeName>Pengfei</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Han</LastName><ForeName>Yuling</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sun</LastName><ForeName>Jing</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Yanqin</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yang</LastName><ForeName>Chun</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Geng</LastName><ForeName>Jin</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Zhongfa</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Department of infectious diseases, Jinan Infectious diseases Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gai</LastName><ForeName>Zhongtao</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Department of Respiratory, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Jinan Institute of Pediatrics, Qilu Children's Hospital of Shandong University, Jinan, People's Republic of China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Emerg Microbes Infect</MedlineTA><NlmUniqueID>101594885</NlmUniqueID><ISSNLinking>2222-1751</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Protocol" UI="C000657964">COVID-19 diagnostic testing</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002637" MajorTopicYN="N">Chest Pain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002681" MajorTopicYN="N" Type="Geographic">China</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019411" MajorTopicYN="N">Clinical Laboratory Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003371" MajorTopicYN="N">Cough</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005192" MajorTopicYN="N">Family Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005243" MajorTopicYN="N">Feces</DescriptorName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005334" MajorTopicYN="N">Fever</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008168" MajorTopicYN="N">Lung</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016133" MajorTopicYN="N">Polymerase Chain Reaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Coronavirus</Keyword><Keyword MajorTopicYN="N">children</Keyword><Keyword MajorTopicYN="N">clinical characteristics</Keyword><Keyword MajorTopicYN="N">corona virus diseases-19 (COVID-19)</Keyword><Keyword MajorTopicYN="N">severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate 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