Radiological findings in lungs of patients with COVID-19 treated at a pediatric reference hospital in Peru, 2020.

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DOI:

https://doi.org/10.58597/rpe.v2i1.48

Keywords:

COVID-19, Child, Tomography, X-Rays

Abstract

Background: Chest X-ray and computed tomography are tools used in the diagnosis and follow-up of patients with COVID-19. Although, the radiological results of lung lesions may vary according to age and the stage of the disease. Objective: To describe the pulmonary radiological fi ndings of COVID-19 in patients of a pediatric reference hospital in Peru, 2020. Methodology: Observational, descriptive and retrospective study in patients under 18 years of age diagnosed with COVID-19. Medical records of patients with chest X-ray and/or computed tomography studies are reviewed. For the analysis, the SPSS v.22.0 software was obtained, in which frequencies and percentages were presented. The study was approved by the Institutional Research Ethics Committee of the National Institute of Child Health. Results: Of 170 patients under 18 years of age with a diagnosis of COVID-19. 56.5% were male and 54.2% were older than 4 years. In the chest X-ray fi ndings, 25.9% participated in airspace compromise. The computed tomography study was performed on 14 patients, fi nding that 57.2% had compromised interstitium. In addition, 34.1% presented lesions in the bilateral perihilar area and 7.1% had a lesion in the left basal hilar area. Conclusion: approximately a quarter of the patients had airspace compromise on chest X-rays. In those who underwent computed tomography, more than half had involvement of the interstitium. The location with the highest frequency of lesions was in the bilateral perihilar zone and left basal hilum

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References

Organización Panamericana de la Salud / Organización Mundial de la Salud. Actualización epidemiológica: Enfermedad por Coronavirus (COVID-19). 2 de diciembre de 2021, Washington, D.C.: OPS/OMS; 2021. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/55322/ EpiUpdate2Dec2021_spa.pdf

Rabinowicz S, Leshem E, Pessach IM. COVID-19 in the Pediatric Population-Review and Current Evidence. Curr Infect Dis Rep. 2020;22(11):29. doi: 10.1007/s11908-020-00739-6.

Yasuhara J, Kuno T, Takagi H, Sumitomo N. Clinical characteristics of COVID-19 in children: A systematic review. Pediatr Pulmonol. 2020;55(10):2565-2575. doi: 10.1002/ppul.24991.

Nabavi S, Ejmalian A, Moghaddam ME, Abin AA, Frangi AF, Mohammadi M, Rad HS. Medical imaging and computational image analysis in COVID-19 diagnosis: A review. Comput Biol Med. 2021;135:104605. doi: 10.1016/j. compbiomed.2021.104605.

Villafuerte Delgado Dianarelys, Ojeda Delgado Lianet, Valladares Valle Masleidy, Díaz Yanes Nery María, Yanes Isray Odalis, Cerda Parra Gerardo. Aspectos imagenológicos útiles en el diagnóstico y seguimiento de pacientes con COVID-19. Medisur. 2020; 18(5): 886-898. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727- 897X2020000500886&lng=es.

Xia W, Shao J, Guo Y, et al. Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults. Pediatr Pulmonol. 2020;55(5):1169-1174. doi:10.1002/ppul.24718

Lu X, Zhang L, Du H, Zhang J, Li YY, Qu J, Chinese Pediatric Novel Coronavirus Study Team. SARS-CoV-2 Infection in Children. N Engl J Med. 2020 Apr 23;382(17):1663-1665. doi: 10.1056/NEJMc2005073.

Liu H, Liu F, Li J, Zhang T, Wang D, Lan W. Clinical and CT imaging features of the COVID-19 pneumonia: focus on pregnant women and children. J Infect. 2020;80(5):e7-e13. doi:10.1016/j.jinf.2020.02.033

Yoon SH, Lee KH, Kim JY, et al. Chest Radiographic and CT Findings of the 2019 Novel Coronavirus Disease (COVID-19): Analysis of Nine Patients Treated in Korea. Korean J Radiol. 2020;21(4):494-500. doi:10.3348/ kjr.2020.0132.

Han X, Fan Y, Alwalid O, Li N, Jia X, Yuan M, et al. Six-month Follow-up

Chest CT Findings after Severe COVID-19 Pneumonia. Radiology. 2021;299(1): E177-E186. doi: 10.1148/radiol.2021203153.

Chilet Christian Chiara, Vilchez Medalit Luna, Maquera-Afaray Julio, Mesones Blanca Salazar, Alvarez Diana Portillo, Miranda Ramiro Priale et al . Características clínicas de niños con COVID-19 admitidos en un centro terciario de referencia en el Perú. Rev Fac Med Hum. 2022; 22(4): 765-775. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_ arttext&pid=S2308-05312022000400765&lng=es.

Llaque-Quiroz P, Prudencio-Gamio R, Echevarría-Lopez S, Ccorahua- Paz M, Ugas-Charcape C. Características clínicas y epidemiológicas de niños con COVID-19 en un hospital pediátrico del Perú. Rev Peru Med Exp Salud Publica. 2020;37(4):689-93. doi: https://doi.org/10.17843/ rpmesp.2020.374.6198.

Ding Y, Yan H, Guo W. Clinical Characteristics of Children With COVID-19: A Meta-Analysis. Front Pediatr. 2020;8:431. doi: 10.3389/fped.2020.00431.

Orbea López Marbelis. Una mirada demográfica a la población infantil afectada por la COVID-19 en Cuba. Rev Cubana Pediatr.2021;93(1): e1222. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_ arttext&pid=S0034-75312021000100003&lng=es.

Götzinger F, Santiago-García B, Noguera-Julián A, Lanaspa M, Lancella L, Calò Carducci FI; ptbnet COVID-19 Study Group. COVID-19 in children and adolescents in Europe: a multinational, multicentre cohort study. Lancet Child Adolesc Health. 2020;4(9):653-661. doi: 10.1016/S2352- 4642(20)30177-2.

Chen Z, Tong L, Zhou Y, Hua C, Wang W, Fu J, et al. Childhood COVID-19: a multicentre retrospective study. Clin Microbiol Infect. 2020; 26(9):1260. e1-1260.e4. doi: 10.1016/j.cmi.2020.06.015.

Rodríguez-Portilla R, Llaque-Quiroz P, Guerra-Ríos C, Cieza-Yamunaqué LP, Coila-Paricahua EJ, Baique-Sánchez PM, et al. Características clínicas y epidemiológicas de niños con infección por SARS-CoV-2 internados en un hospital peruano. Rev Peru Med Exp Salud Publica. 2020;38(2):261-6. doi: 10.17843/rpmesp.2021.382.6719.

Liu W, Zhang Q, Chen J, Xiang R, Song H, Shu S, et al. Detection of Covid-19 in Children in Early January 2020 in Wuhan, China. N Engl J Med. 2020;382(14):1370-1371. doi: 10.1056/NEJMc2003717.

Falahi S, Abdoli A, Kenarkoohi A. Claims and reasons about mild COVID-19 in children. New Microbes New Infect. 2021;41:100864. doi: 10.1016/j. nmni.2021.100864.

Boletín Epidemiológico del Perú SE 49-2020 (del 29 de noviembre al 05 de diciembre del 2020). https://www.dge.gob.pe/epipublic/uploads/boletin/ boletin_202049.pdf

Katal S, Johnston SK, Johnston JH, Gholamrezanezhad A. Imaging Findings of SARS-CoV-2 Infection in Pediatrics: A Systematic Review of Coronavirus Disease 2019 (COVID-19) in 850 Patients. Acad Radiol. 2020;27(11):1608-1621. doi: 10.1016/j.acra.2020.07.031.

Kumar J, Meena J, Yadav A, Yadav J. Radiological Findings of COVID-19 in Children: A Systematic Review and Meta-Analysis. J Trop Pediatr. 2021;67(3):fmaa045. doi: 10.1093/tropej/fmaa045.

Rubin GD, Ryerson CJ, Haramati LB, Sverzellati N, Kanne JP, Raoof S, et al. The Role of Chest Imaging in Patient Management During the COVID-19 Pandemic: A Multinational Consensus Statement From the Fleischner Society. Chest. 2020;158(1):106-116. doi: 10.1016/j.chest.2020.04.003.

Hosseiny M, Kooraki S, Gholamrezanezhad A, Reddy S, Myers L. Radiology Perspective of Coronavirus Disease 2019 (COVID-19): Lessons From Severe Acute Respiratory Syndrome and Middle East Respiratory Syndrome. AJR Am J Roentgenol. 2020; 214(5):1078-1082. doi: 10.2214/ AJR.20.22969.

Sankar J, Dhochak N, Kabra SK, Lodha R. COVID-19 in Children: Clinical Approach and Management. Indian J Pediatr. 2020; 87(6):433-442. doi: 10.1007/s12098-020-03292-1.

Balasubramanian S, Rao NM, Goenka A, Roderick M, Ramanan AV. Coronavirus Disease 2019 (COVID-19) in Children - What We Know So Far and What We Do Not. Indian Pediatr. 2020;57(5):435-442. doi: 10.1007/s13312-020-1819-5.

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Published

2023-05-24 — Updated on 2023-05-24

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1.
Bances Gonzáles MF, Tello Chumpitaz TJ, Romero Ramos CW, Rojas León RE, Infantas Agapito IA, Porras Abia JR. Radiological findings in lungs of patients with COVID-19 treated at a pediatric reference hospital in Peru, 2020. Rev Pediatr Espec [Internet]. 2023 May 24 [cited 2026 Jun. 5];2(1):8-13. Available from: https://revistapediatricae.insn.gob.pe/index.php/rpe/article/view/48

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