Abstract

ObjectiveTo describe the 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 SARS-CoV-2 RT-PCR test, and we analyzed 24 symptoms and 25 signs.ResultsAmong the 50 patients with COVID-19, the most common symptoms were fever, excessive cry and dry cough; digestive symptoms were frequently found (24%). 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, and digestive symptoms should raise suspicion.

Highlights

  • ObjectiveTo describe the broader clinical spectrum of COVID-19 in children

  • The clinical suspicion of SARS-CoV-2 infection in children has been a challenge for physicians worldwide

  • A broader description of the disease is of paramount importance for the clinical suspicion of SARS-CoV-2

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Summary

Objective

To describe the broader clinical spectrum of COVID-19 in children. Methods: In 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. Results: Among the 50 patients with COVID-19, the most common symptoms were fever, excessive cry and dry cough; digestive symptoms were frequently found (24%). Conclusion: Clinicians should recognize that the clinical spectrum of COVID-19 in children is wider than previously described, often with nonspecific signs and symptoms, and digestive symptoms should raise suspicion. By August 7, 12,052 cases of COVID-19 in children were confirmed in Mexico, with 188 deaths [1]. The aim of this study was to describe a broader clinical spectrum of COVID-19 in children

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