Concerns about Consensus Statement on Chest Imaging in Pediatric                     COVID-19 Patient Management

Desoky, Sarah M.; Andronikou, Savvas; Brody, Alan S.; Hirsch, Wolfgang

doi:10.1148/ryct.2020200305

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…The most common symptoms of COVID-19 in children are fever, cough, SOB, loose motion, abdominal pain, muscle ache, nasal flu, vomiting, nasal congestion, skin rash, conjunctivitis, sore throat, and loss of sense of taste and smell. X-ray radiography showed bilateral ground-glass appearance, bilateral patches, and consolidation ( 169 – 172 ). Refer to Table 16 .…”

Section: Resultsmentioning

confidence: 99%

COVID-19: Pulmonary and Extra Pulmonary Manifestations

Elrobaa

New

2021

Front. Public Health

106

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Introduction: The coronavirus disease-2019 (COVID-19) pandemic has been the most significant event in 2020, with ~86.8 million cases and 1.88 million deaths worldwide. It is a highly infectious disease, wherein the virus (severe acute respiratory syndrome coronavirus 2) rapidly multiplies and spreads to all parts of the body. Therefore, COVID-19 is not only respiratory disease but also a multisystem disease. Many people, including physicians, incorrectly believe that the disease affects only the respiratory tract. In this study, we aimed to describe COVID-19 manifestations and the underlying pathophysiology to provide the readers with a better understanding of this disease to achieve good management and to control the spread of this disease.Methods: Secondary data were obtained from PubMed, Google Scholar, and Scopus databases. The keywords used for the search were as follows: COVID-19, COVID-19 pulmonary manifestations, COVID-19 extra pulmonary manifestations, and pathophysiology of COVID-19. We collected secondary data from systemic reviews, metaanalyses, case series, and case reports in the form of public data that was published on websites of the government, medical corporations, medical peer-reviewed journals, and medical academies, all of which were indexed in PubMed, Google Scholar, or Scopus. Our questions were as follows: Is COVID-19 a respiratory disease only? and What are the extrapulmonary manifestations of COVID-19?Results: From our data, we found that a patient with COVID-19 may be either asymptomatic or symptomatic. Symptomatic cases may have either pulmonary or extrapulmonary manifestations. Pulmonary manifestations occur as mild, moderate, or severe cases. In mild and moderate cases, extrapulmonary manifestations such as gastroenteritis, fever, or vomiting may present alone. Some of these cases may be missed for diagnosis, and the patient may receive symptomatic treatment without a COVID-19 diagnosis, leading to increased spread of the infection. Extrapulmonary manifestations may occur in severe and critical cases as complications of severe infections (high viral overload) or the cytokine storm, such as in acute kidney injury (AKI), heart failure (HF), and venous thromboembolic (VTE) manifestation.Conclusion: COVID-19 is not a respiratory disease alone; rather, it is a multisystem disease. Pulmonary and extrapulmonary manifestations should be considered for early diagnosis and to control the spread of the infection.

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Section: Resultsmentioning

confidence: 99%

COVID-19: Pulmonary and Extra Pulmonary Manifestations

Elrobaa

New

2021

Front. Public Health

106

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“…Subsequently, chest radiographs were classified into four types by pediatric radiologists who were blinded to clinical outcomes. This classification followed the guidelines outlined in the International Expert Consensus Statement on Chest Imaging in Pediatric COVID‐19 Patient Management 8 …”

Section: Methodsmentioning

confidence: 99%

“…This classification followed the guidelines outlined in the International Expert Consensus Statement on Chest Imaging in Pediatric COVID-19 Patient Management. 8 1. The typical pattern is characterized by bilateral peripheral and/or subpleural ground-glass opacity and consolidation.…”

mentioning

confidence: 99%

Incidence and risk factors for long COVID in children with COVID‐19 pneumonia

Wongwathanavikrom,

Tovichien,

Udomittipong

et al. 2024

Pediatric Pulmonology

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Background and ObjectiveThere are only a few reports of long COVID including pulmonary function in children after COVID‐19 pneumonia. We determined the incidence of long COVID and abnormal pulmonary function in those children and identify risk factors.MethodsThis cohort study enrolled children admitted with COVID‐19 pneumonia during 2021–2022. We gathered clinical characteristics during admission and at follow‐up 3 months after.ResultsWe determined the incidence of long COVID at 39.7% (95% confidence interval [CI]: 30.7%–49.1%). All severe pneumonia cases consistently reported persistent symptoms. Exercise intolerance, cough, and fatigue were the three most common persistent symptoms in 26 (22.4%), 21 (18.1%), and 18 (15.5%) of the patients, respectively. At the follow‐up, 21 cases (18.1%) demonstrated persistent abnormal chest radiographs. Three cases (6.9%) demonstrated restrictive ventilatory defects. Among those, one case (2.3%) demonstrated concomitant diffusion defect. Three cases (6.0%) demonstrated exercise‐induced hypoxemia after the 6‐minute walk test. Comparing spirometry variables between children with long COVID and without revealed significant difference of FEF25‐75 (z score) between two groups. Age [adjusted OR (95% CI): 1.13 (1.05–1.22), p value 0.002], allergic diseases [adjusted OR (95% CI): 4.05 (1.36–12.06), p value 0.012], and living in polluted areas [adjusted OR (95% CI): 2.73 (1.18–6.33), p value 0.019] were significantly associated with long COVID.ConclusionA significant percentage of children developed long COVID after COVID‐19 pneumonia. We should give additional attention to those who have exercise intolerance, chronic cough, or fatigue, especially older children, severe cases, children with allergic diseases, and those living in polluted areas.

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“…~ 523 ~ According to RSNA experts consensus [9] the pattern of CT changes were categorized in to four types as follows.…”

Section: Methodsmentioning

confidence: 99%

Comparison study of covid-19 positive hypertensive or diabetic and non hypertensive and non-diabetic patients in tertiary healthcare

Subrahmanyam¹

2021

Int. J. Adv. Res. Med.

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The rapid spread of the novel coronavirus has caused panic around the world since October 2019. High Resolution Computed Tomography (HRCT) chest played a major role in the triage and management of patients with confirmed or suspected COVID-19 pneumonia. Present study was conducted with an aim to compare HRCT severity scores among COVID-19 positive hypertensive or diabetic and nonhypertensive and non-diabetic patients.

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Concerns about Consensus Statement on Chest Imaging in Pediatric COVID-19 Patient Management

Cited by 6 publications

References 6 publications

COVID-19: Pulmonary and Extra Pulmonary Manifestations

COVID-19: Pulmonary and Extra Pulmonary Manifestations

Incidence and risk factors for long COVID in children with COVID‐19 pneumonia

Comparison study of covid-19 positive hypertensive or diabetic and non hypertensive and non-diabetic patients in tertiary healthcare

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