CT features of novel coronavirus pneumonia (COVID-19) in children

Ya-Ni Duan1, Yan-Qiu Zhu1, Lei-Lei Tang1

  • 1Department of Radiology, The 3rd Affiliated Hospital of Sun Yat-sen University-Lingnan Hospital, 2693 Kaichuang Avenue, Guangzhou, 510760, People's Republic of China.

European Radiology
|April 16, 2020
PubMed

Insights

Pediatric COVID-19 patients exhibit milder symptoms and atypical chest CT findings compared to adults. Careful use of chest CT is recommended for children to minimize radiation exposure.

Area of Science:

  • Radiology
  • Pediatrics
  • Infectious Diseases

Background:

  • Coronavirus disease 2019 (COVID-19) emerged as a significant global epidemic.
  • Chest computed tomography (CT) is crucial for diagnosing and monitoring COVID-19, particularly given frequent chest abnormalities in patients.
  • Children are susceptible to COVID-19, often presenting with atypical symptoms compared to adults.

Purpose of the Study:

  • To review and compare the clinical and radiological differences of COVID-19 in pediatric versus adult patients.
  • To highlight the role of radiology in managing pediatric COVID-19 cases.
  • To emphasize the need for cautious application of CT in children.

Main Methods:

  • Literature review focusing on clinical manifestations and CT imaging findings of COVID-19 in children and adults.
  • Comparative analysis of disease characteristics and radiological presentations.
  • Discussion on the implications for pediatric patient care.

Main Results:

  • Pediatric COVID-19 cases show lower incidence, milder symptoms, shorter disease duration, and fewer severe outcomes than adults.
  • Chest CT findings in children are atypical, characterized by localized ground-glass opacities (GGO) with lower attenuation and less frequent interlobular septal thickening.
  • Radiological assessment is vital for early detection and management in pediatric populations.

Conclusions:

  • COVID-19 presents differently in children compared to adults, both clinically and radiologically.
  • Chest CT in pediatric COVID-19 requires careful interpretation due to atypical findings.
  • Minimizing radiation exposure through judicious use of CT is essential for protecting children.

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