全部
logo

The clinical and immunological features of pediatric COVID-19 patients in China

The clinical and immunological features of pediatric COVID-19 patients in China

Juan Chen
Zhen-Zhen Zhang
Yao-Kai Chen
Quan-Xin Long
Wen-Guang Tian
Hai-Jun Deng
Jie-Li Hu
Xian-Xiang Zhang
Pu-Liao
Jiang-Lin Xiang
Dao-Xin Wang
Peng Hu
Fa-Chun Zhou
Zhi-Jie Li
Hong-Mei Xu
Xue-Fei Cai
De-Qiang Wang
Yuan Hu
Ni Tang
Bei-Zhong Liu
Gui-Cheng Wu
Ai-Long Huang
Genes & Diseases第7卷, 第4期pp.535-541纸质出版 2020-12-01在线发表 2020-04-14
210901

In December 2019, the corona virus disease 2019 (COVID-19) caused by novel coronavirus (SARS-CoV-2) emerged in Wuhan, China and rapidly spread worldwide. Few information on clinical features and immunological profile of COVID-19 in paediatrics. The clinical features and treatment outcomes of twelve paediatric patients confirmed as COVID-19 were analyzed. The immunological features of children patients was investigated and compared with twenty adult patients. The median age was 14.5-years (range from 0.64 to 17), and six of the patients were male. The average incubation period was 8 days. Clinically, cough (9/12,75%) and fever (7/12,58.3%) were the most common symptoms. Four patients (33.3%) had diarrhea during the disease. As to the immune profile, children had higher amount of total T cell, CD8þ T cell and B cell but lower CRP levels than adults (P<0.05). Ground-glass opacity (GGO) and local patchy shadowing were the typical radiological findings on chest CT scan. All patients received antiviral and symptomatic treatment and the symptom relieved in 3e4 days after admitted to hospital. The paediatric patients showed mild symptom but with longer incubation period. Children infected with SARS-CoV-2 had different immune profile with higher T cell amount and low inflammatory factors level, which might ascribed to the mild clinical symptom. We advise that nucleic acid test or examination of serum IgM/IgG antibodies against SARS-CoV-2 should be taken for children with exposure history regardless of clinical symptom.

pic

Clinical featuresCOVID-19ImmunePaediatricsSARS-CoV-2