Pediatric chest x-ray in covid-19 infection
| Autor: | A Pérez Vigara, I Martin Espin, M Bret-Zurita, C Calvo Rey, M. De la Calle, NM Buitrago, E. Cuesta López, E Alonso, M Parrón Pajares, Mario Andrés, G. Garzón Moll, M. Bueno Barriocanal, C. Oterino Serrano |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatrics Pleural effusion MERS Middle East Respiratory Syndrome PCR polymerase chain reaction Risk Factors SARS Severe Acute Respiratory Syndrome Epidemiology Child CXR chest-x-ray(s) COVID-19 coronavirus disease 2019 General Medicine Thorax CT computed tomography GGOs ground-glass opacities Paediatric Radiology Nuclear Medicine and imaging Child Preschool Paediatric imaging Female Abnormality medicine.symptom Coronavirus Infections Radiology COVID 19 medicine.medical_specialty Adolescent Fever Coronavirus disease 2019 (COVID-19) IUC Intensive Unit Care Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Pneumonia Viral Asymptomatic Peribronchial Cuffing Article WHO World Health Organization Betacoronavirus medicine Humans Radiology Nuclear Medicine and imaging Pandemics ICTV international committee on taxonomy of viruses business.industry SARS-CoV-2 X-Rays Infant Newborn COVID-19 Infant Outbreak Pneumonia medicine.disease Thoracic imaging business |
| Zdroj: | European Journal of Radiology |
| ISSN: | 0720-048X |
| DOI: | 10.1016/j.ejrad.2020.109236 |
| Popis: | Highlights • Children with COVID 19 disease are less symptomatic but they can be potential agents of transmission. • Most children with symptoms from COVID 19 disease (cough, fever, respiratory difficulties) show bnormalities in CXR. • Findings in CXR are non-specific and superimpose on other viral pneumonias. • Peripheral distribution of lung abnormalities is not a distinctive feature in paediatric population. • CXR have a role in the management of the disease in children. 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. |
| Databáze: | OpenAIRE |
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