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Clinical Spectrum of COVID-19 in a Mexican Pediatric Population
Edgar Bustos-Cordova1, Daniela Castillo-Garcia2, Magdalena Ceron-Rodriguez1
1Emergency Department, Hospital Infantil de México Federico Gómez, Mexico.
Insights
The clinical spectrum of coronavirus disease 2019 (COVID-19) in children is broader than previously understood. Digestive symptoms, fever, and irritability are common indicators in pediatric COVID-19 cases.
Area of Science:
- Pediatric Infectious Diseases
- Viral Respiratory Illnesses
Background:
- Coronavirus disease 2019 (COVID-19) presents unique challenges in pediatric populations.
- Understanding the full clinical spectrum in children is crucial for timely diagnosis and management.
Purpose of the Study:
- To describe the broader clinical spectrum of COVID-19 in children.
- To identify common symptoms and signs associated with pediatric COVID-19.
Main Methods:
- A descriptive, prospective study was conducted.
- Confirmed pediatric COVID-19 patients presenting to a tertiary care emergency department were analyzed.
- Data included 24 symptoms and 25 signs from 50 patients.
Main Results:
- Fever, excessive crying, and dry cough were the most frequent symptoms.
- Digestive symptoms were present in 24% of cases.
- Pharyngeal erythema and irritability were the most common signs.
Conclusions:
- The clinical presentation of COVID-19 in children is diverse and often nonspecific.
- Digestive symptoms in pediatric patients warrant suspicion for COVID-19.
- Clinicians must consider a wider range of symptoms and signs for accurate diagnosis.
Objective:
To describe the broader clinical spectrum of COVID-19 in children.
Methods:
In this descriptive, prospective study, we included confirmed pediatric patients with COVID-19 who presented to the emergency department of a pediatric tertiary care center from April to July, 2020. All patients were confirmed by the SARS-CoV-2 RT-PCR test, and we analyzed 24 symptoms and 25 signs.
Results:
Among the 50 patients with COVID-19, the most common symptoms were fever, excessive cry and dry cough; digestive symptoms were frequently found (24%). The most common signs were pharyngeal erythema and irritability.
Conclusions:
Clinicians should recognize that the clinical spectrum of COVID-19 in children is wider than previously described, often with nonspecific signs and symptoms, and digestive symptoms should raise suspicion.
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