Pediatric chest x-ray in covid-19 infection.

Autor: Oterino Serrano C; Pediatric Radiology Section. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: cesar.oterino@salud.madrid.org., Alonso E; Pediatric Radiology Section. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: eduardo.alonso@salud.madrid.org., Andrés M; Pediatric Radiology Section. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: marina.andres@salud.madrid.org., Buitrago NM; Pediatric Radiology Section. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: nelsonm.buitrago@salud.madrid.org., Pérez Vigara A; Pediatric Radiology Section. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: apvigara@salud.madrid.org., Parrón Pajares M; Pediatric Radiology Section. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: manuel.parron@salud.madrid.org., Cuesta López E; Cardiothoracic Radiology Section. Hospital Universitario La Paz, Madrid, Spain. Electronic address: emilio.cuesta@salud.madrid.org., Garzón Moll G; Radiology Department Chief. Hospital Universitario La Paz, Madrid, Spain. Electronic address: gonzalo.garzon@salud.madrid.org., Martin Espin I; Emergency Department. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: imartine@salud.madrid.org., Bueno Barriocanal M; Emergency Department. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: mbueno@salud.madrid.org., De Ceano-Vivas la Calle M; Emergency Department Chief. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: maria.dceano@salud.madrid.org., Calvo Rey C; Department of Infectious Disease Chief. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: ccalvor@salud.madrid.org., Bret-Zurita M; Pediatric Radiology Section Chief. Hospital Universitario La Paz. Hospital Infantil, Madrid, Spain. Electronic address: monserrat.bret@salud.madrid.org.
Jazyk: angličtina
Zdroj: European journal of radiology [Eur J Radiol] 2020 Oct; Vol. 131, pp. 109236. Date of Electronic Publication: 2020 Aug 26.
DOI: 10.1016/j.ejrad.2020.109236
Abstrakt: Background: The outbreak of COVID-19 has become pandemic. Pediatric population has been less studied than adult population and prompt diagnosis is challenging due to asymptomatic or mild episodes. Radiology is an important complement to clinical and epidemiological features.
Objective: To establish the most common CXR patterns in children with COVID-19, evaluate interobserver correlation and to discuss the role of imaging techniques in the management of children.
Materials and Methods: Forty-four patients between 0 and 16 years of age with confirmed SARS-Cov-2 infection and CXR were selected. Two paediatric radiologists independently evaluated the images and assessed the type of abnormality, distribution and evolution when available.
Results: Median age was 79.8 months (ranging from 2 weeks to 16 years of age). Fever was the most common symptom (43.5 %). 90 % of CXR showed abnormalities. Peribronchial cuffing was the most common finding (86.3 %) followed by GGOs (50 %). In both cases central distribution was more common than peripheral. Consolidations accounted for 18.1 %. Normal CXR, pleural effusion, and altered cardiomediastinal contour were the least common.
Conclusion: The vast majority of CXR showed abnormalities in children with COVID-19. However, findings are nonspecific. Interobserver correlation was good in describing consolidations, normal x-rays and GGOs. Imaging techniques have a role in the management of children with known or suspected COVID-19, especially in those with moderate or severe symptoms or with underlying risk factors.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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