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Pediatric Radiology
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Pulmonary imaging in coronavirus disease 2019 (COVID-19): a series of 140 Latin American children / Lina Marcela Cadavid Álvarez
Título : Pulmonary imaging in coronavirus disease 2019 (COVID-19): a series of 140 Latin American children Tipo de documento : documento electrónico Autores : Lina Marcela Cadavid Álvarez, Fecha de publicación : 2021 Títulos uniformes : Pediatric Radiology Idioma : Inglés (eng) Palabras clave : Chest Children Computed tomography Coronavirus disease 2019 Lungs Pulmonary Radiography Severe acute respiratory syndrome coronavirus 2 Resumen : Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which resulted in the worldwide coronavirus disease 2019 (COVID-19) pandemic of 2020, has particularly affected Latin America. Objective: The purpose of the study was to analyze the imaging findings of pulmonary COVID-19 in a large pediatric series. Materials and methods: Children with SARS-CoV-2 infection confirmed by either quantitative reverse transcription-polymerase chain reaction from nasopharyngeal swabs or presence of circulating immunoglobulin M (IgM) antibodies and who underwent chest radiograph or CT or both were included in this retrospective multicenter study. Three pediatric radiologists independently reviewed radiographs and CTs to identify the presence, localization, distribution and extension of pulmonary lesions. Results: We included 140 children (71 female; median age 6.3 years, interquartile range 1.6–12.1 years) in the study. Peribronchial thickening (93%), ground-glass opacities (79%) and vascular engorgement (63%) were the most frequent findings on 131 radiographs. Ground-glass opacities (91%), vascular engorgement (84%) and peribronchial thickening (72%) were the most frequent findings on 32 CTs. Peribronchial thickening (100%), ground-glass opacities (83%) and pulmonary vascular engorgement (79%) were common radiograph findings in asymptomatic children (n=25). Ground-glass opacity and consolidation were significantly higher in children who needed intensive care admission or died (92% and 48%), in contrast with children with a favorable outcome (71% and 24%, respectively; P Mención de responsabilidad : Carlos F. Ugas-Charcape, María Elena Ucar, Judith Almanza-Aranda, Emiliana Rizo-Patrón, Claudia Lazarte-Rantes, Pablo Caro-Domínguez, Lina Cadavid, Lizbet Pérez-Marrero, Tatiana Fazecas, Lucía Gomez, Mariana Sánchez Curiel, Walter Pacheco, Ana Rizzi, Andrés García-Bayce, Efigenia Bendeck, Mario Montaño, Pedro Daltro & José D. Arce-V Referencia : Pediatr Radiol. 2021 Aug;51(9):1597-1607. DOI (Digital Object Identifier) : 10.1007/s00247-021-05055-2 PMID : 33791841 En línea : https://link.springer.com/article/10.1007%2Fs00247-021-05055-2 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5856 Pulmonary imaging in coronavirus disease 2019 (COVID-19): a series of 140 Latin American children [documento electrónico] / Lina Marcela Cadavid Álvarez, . - 2021.
Obra : Pediatric Radiology
Idioma : Inglés (eng)
Palabras clave : Chest Children Computed tomography Coronavirus disease 2019 Lungs Pulmonary Radiography Severe acute respiratory syndrome coronavirus 2 Resumen : Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which resulted in the worldwide coronavirus disease 2019 (COVID-19) pandemic of 2020, has particularly affected Latin America. Objective: The purpose of the study was to analyze the imaging findings of pulmonary COVID-19 in a large pediatric series. Materials and methods: Children with SARS-CoV-2 infection confirmed by either quantitative reverse transcription-polymerase chain reaction from nasopharyngeal swabs or presence of circulating immunoglobulin M (IgM) antibodies and who underwent chest radiograph or CT or both were included in this retrospective multicenter study. Three pediatric radiologists independently reviewed radiographs and CTs to identify the presence, localization, distribution and extension of pulmonary lesions. Results: We included 140 children (71 female; median age 6.3 years, interquartile range 1.6–12.1 years) in the study. Peribronchial thickening (93%), ground-glass opacities (79%) and vascular engorgement (63%) were the most frequent findings on 131 radiographs. Ground-glass opacities (91%), vascular engorgement (84%) and peribronchial thickening (72%) were the most frequent findings on 32 CTs. Peribronchial thickening (100%), ground-glass opacities (83%) and pulmonary vascular engorgement (79%) were common radiograph findings in asymptomatic children (n=25). Ground-glass opacity and consolidation were significantly higher in children who needed intensive care admission or died (92% and 48%), in contrast with children with a favorable outcome (71% and 24%, respectively; P Mención de responsabilidad : Carlos F. Ugas-Charcape, María Elena Ucar, Judith Almanza-Aranda, Emiliana Rizo-Patrón, Claudia Lazarte-Rantes, Pablo Caro-Domínguez, Lina Cadavid, Lizbet Pérez-Marrero, Tatiana Fazecas, Lucía Gomez, Mariana Sánchez Curiel, Walter Pacheco, Ana Rizzi, Andrés García-Bayce, Efigenia Bendeck, Mario Montaño, Pedro Daltro & José D. Arce-V Referencia : Pediatr Radiol. 2021 Aug;51(9):1597-1607. DOI (Digital Object Identifier) : 10.1007/s00247-021-05055-2 PMID : 33791841 En línea : https://link.springer.com/article/10.1007%2Fs00247-021-05055-2 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5856 Reserva
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