Clinical Characteristics and Outcomes of COVID-19 in Children in Northern Iran
Objective. Since December 2019, the coronavirus disease 2019 (COVID-19) has been spread rapidly all over the world, infecting all age groups with this novel virus. In this manuscript, we report characteristics of children with COVID-19 in Mazandaran province, northern Iran. Method. From 12 February...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2021/5558287 |
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| author | Leila Shahbaznejad Hamed Rouhanizadeh Mohammad Reza Navaeifar Fatemeh Hosseinzadeh Faeze Sadat Movahedi Mohammad Sadegh Rezai |
| author_facet | Leila Shahbaznejad Hamed Rouhanizadeh Mohammad Reza Navaeifar Fatemeh Hosseinzadeh Faeze Sadat Movahedi Mohammad Sadegh Rezai |
| author_sort | Leila Shahbaznejad |
| collection | DOAJ |
| description | Objective. Since December 2019, the coronavirus disease 2019 (COVID-19) has been spread rapidly all over the world, infecting all age groups with this novel virus. In this manuscript, we report characteristics of children with COVID-19 in Mazandaran province, northern Iran. Method. From 12 February to 28 July 2020, medical records of 100 children diagnosed with COVID-19 admitted to the hospitals of Mazandaran province were collected. Patients’ age, gender, clinical symptoms, and signs, in addition to therapeutic management and outcomes, were reported. Results. 57 (57%) boys and 43 girls with the mean age of 104.63±79.14 months were evaluated. 20 patients (20%) were transferred to the PICU (pediatric intensive care unit), and 13 children experienced a severe form of the disease, pediatric inflammatory multisystem syndrome (PIMS). The mean duration of hospitalization was 5.3±4.7 days. Fever (81%), respiratory (79%), gastrointestinal (47%), and neurologic complaints (29%) were experienced by the patients in addition to skin rash (14%). Sixty-two patients needed supplemental oxygen, and 6 of them underwent endotracheal intubation. Leukopenia was reported in 7, anemia in 24, and thrombocytopenia in 12 patients. 4 patients with underlying diseases including chronic renal failure, Down syndrome with cerebral palsy, and morbid obesity died. Conclusion. COVID-19 can cause symptoms in children in two stages. In the first week, upper and lower respiratory symptoms can occur which has lower severity and prevalence compared to adults. But after 2-3 weeks following infection, symptoms of MIS-C or multisystem involvement can occur and COVID-19 should be considered. The most common indication for admission is fever, rash, and respiratory problems. |
| format | Article |
| id | doaj-art-d693bbc46e82483c86e25ddc6ded5c5a |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-d693bbc46e82483c86e25ddc6ded5c5a2025-02-03T05:57:51ZengWileyInternational Journal of Pediatrics1687-97401687-97592021-01-01202110.1155/2021/55582875558287Clinical Characteristics and Outcomes of COVID-19 in Children in Northern IranLeila Shahbaznejad0Hamed Rouhanizadeh1Mohammad Reza Navaeifar2Fatemeh Hosseinzadeh3Faeze Sadat Movahedi4Mohammad Sadegh Rezai5Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, IranPediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, IranPediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, IranPediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, IranStudent Research Committee, Mazandaran University of Medical Sciences, Sari, IranPediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, IranObjective. Since December 2019, the coronavirus disease 2019 (COVID-19) has been spread rapidly all over the world, infecting all age groups with this novel virus. In this manuscript, we report characteristics of children with COVID-19 in Mazandaran province, northern Iran. Method. From 12 February to 28 July 2020, medical records of 100 children diagnosed with COVID-19 admitted to the hospitals of Mazandaran province were collected. Patients’ age, gender, clinical symptoms, and signs, in addition to therapeutic management and outcomes, were reported. Results. 57 (57%) boys and 43 girls with the mean age of 104.63±79.14 months were evaluated. 20 patients (20%) were transferred to the PICU (pediatric intensive care unit), and 13 children experienced a severe form of the disease, pediatric inflammatory multisystem syndrome (PIMS). The mean duration of hospitalization was 5.3±4.7 days. Fever (81%), respiratory (79%), gastrointestinal (47%), and neurologic complaints (29%) were experienced by the patients in addition to skin rash (14%). Sixty-two patients needed supplemental oxygen, and 6 of them underwent endotracheal intubation. Leukopenia was reported in 7, anemia in 24, and thrombocytopenia in 12 patients. 4 patients with underlying diseases including chronic renal failure, Down syndrome with cerebral palsy, and morbid obesity died. Conclusion. COVID-19 can cause symptoms in children in two stages. In the first week, upper and lower respiratory symptoms can occur which has lower severity and prevalence compared to adults. But after 2-3 weeks following infection, symptoms of MIS-C or multisystem involvement can occur and COVID-19 should be considered. The most common indication for admission is fever, rash, and respiratory problems.http://dx.doi.org/10.1155/2021/5558287 |
| spellingShingle | Leila Shahbaznejad Hamed Rouhanizadeh Mohammad Reza Navaeifar Fatemeh Hosseinzadeh Faeze Sadat Movahedi Mohammad Sadegh Rezai Clinical Characteristics and Outcomes of COVID-19 in Children in Northern Iran International Journal of Pediatrics |
| title | Clinical Characteristics and Outcomes of COVID-19 in Children in Northern Iran |
| title_full | Clinical Characteristics and Outcomes of COVID-19 in Children in Northern Iran |
| title_fullStr | Clinical Characteristics and Outcomes of COVID-19 in Children in Northern Iran |
| title_full_unstemmed | Clinical Characteristics and Outcomes of COVID-19 in Children in Northern Iran |
| title_short | Clinical Characteristics and Outcomes of COVID-19 in Children in Northern Iran |
| title_sort | clinical characteristics and outcomes of covid 19 in children in northern iran |
| url | http://dx.doi.org/10.1155/2021/5558287 |
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