COVID-19 disease characteristics in different pediatric age groups

Eda Kepenekli1, Nurhayat Yakut2, Zeynep Ergenc2

  • 1Marmara University School of Medicine, Pendik Training and Research Hospital. Department of Pediatrics, Division of Pediatric Infectious Diseases, Istanbul, Turkey. ekepenekli@yahoo.com.

Insights

COVID-19 in children presents differently across age groups, with younger children experiencing more fever and laboratory differences. These findings highlight age-variable disease pathogenesis in pediatric coronavirus disease 2019.

Area of Science:

  • Pediatric Infectious Diseases
  • Virology
  • Clinical Medicine

Background:

  • Limited understanding of COVID-19 disease characteristics in pediatric populations.
  • Need for age-specific data on pediatric coronavirus disease 2019.
  • Variability in disease presentation across different pediatric age groups.

Purpose of the Study:

  • To investigate and compare COVID-19 disease characteristics in distinct pediatric age groups.
  • To identify age-related differences in clinical symptoms and laboratory findings of pediatric COVID-19.
  • To contribute to understanding the age-dependent pathogenesis of coronavirus disease 2019 in children.

Main Methods:

  • Retrospective, single-center study of 139 pediatric COVID-19 patients.
  • Patients categorized into three age groups: 15 days-24 months (Group 1), 25-144 months (Group 2), and 145-210 months (Group 3).
  • Analysis of clinical symptoms, hospitalization rates, chest X-ray (CXR) scores, and laboratory parameters.

Main Results:

  • Common symptoms included cough (55.4%) and fever (51.8%).
  • Fever was more frequent in Group 1; chest pain was more frequent in Group 3.
  • Group 1 showed higher WBC, lymphocyte, and thrombocyte counts, with altered levels of AST, LDH, D-dimer, Troponin T, hemoglobin, total protein, and albumin compared to other groups.

Conclusions:

  • Pediatric COVID-19 is generally less severe than in adults.
  • Significant clinical and laboratory differences exist between pediatric age groups.
  • These variations support the concept of age-dependent disease pathogenesis in pediatric coronavirus disease 2019.
Abstract

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