Clinical Spectrum of COVID-19 in a Pediatric Mexican Population

Abstract

ObjectiveFrom the beginning of the COVID-19 pandemic, it has become evident that the spectrum of manifestations in children is different from those seen in adults. In this study, we aimed to describe a broader clinical spectrum of COVID-19 in children.MethodsIn this descriptive, prospective study, we included confirmed pediatric patients with COVID-19 who presented to the emergency department of a pediatric tertiary care center from April to July 2020. All patients were confirmed by the SARSCoV-2 RT-PCR test, and we analyzed 24 symptoms and 25 signs.ResultsWe analyzed 50 patients with COVID-19. From the evaluated signs and symptoms, the most common symptoms were fever, excessive crying and dry cough, digestive symptoms were frequently found (24%), and the most common signs were pharyngeal erythema and irritability.ConclusionClinicians should recognize that the clinical spectrum of COVID-19 in children is wider than previously described, often with nonspecific signs and symptoms, digestive symptoms should raise suspicion.

A systematic review and meta-analysis of otorhinolaryngological manifestations of coronavirus disease 2019 in paediatric patients

“…Two authors (AS and MY) independently searched three databases (PubMed, Embase and Cochrane Central Register of Controlled Trials) for the relevant information published between December 2019 and June 2021. The search was conducted using three basic groups of terminologies or key words; the search terms related to: the infection being studied (Covid- 19), the patient population (child*/pediatr*) and the otorhinolaryngological manifestations (ear/ oto* /cough/ hearing/ vertigo/ dizziness/ pharynx/ pharyng*/ throat/ larynx/ laryng*/ hoarse*/ taste/ smell/ olfact*/ nasal/ nose/ naso*/ rhino*/ sinus/ ageusia/ dysgeusia). The bibliographic information obtained from selected articles was also searched manually to include further relevant articles.…”