Sandbox: HAR
Presentations
- Presentation of COVID-19 is less severe in children as compared to adults.
- According to CDC, as of April 2, 2020, 1.7% confirmed cases of COVID-19 were reported in children aged <18 years age among the total number of confirmed cases of COVID-19.
- COVID-19 in children could range from asymptomatic presentation to mild to severe disease.
- Symptoms
- Fever and Cough are one of the most common symptoms reported in children.
- One study showed fever is prevalent in 47.5% of children and cough in 41.5% among the 1124 children with COVID-19.
- According to the CDC, fever, and cough was reported in 56% and 54% of children with COVID 19
- Dyspnea, nasal congestion, pharyngeal erythema, and sore throat are also common presentations in children.
- Gastrointestinal symptoms-The gastrointestinal manifestation in COVID-19 positive children are diarrhea, vomiting, abdominal pain, nausea, and anorexia.
- Children can present with gastrointestinal symptoms in the absence of respiratory symptoms.
- Cutaneous Findings
- Severity of Disease in Children with COVID-19
- Asymptomatic presentation-
- A large number of children with COVID-19 are asymptomatic.
- According to one study 14.2% of children were asymptomatic. Another study showed 18% of asymptomatic children with COVID-19.
- Mild Disease
- Few numbers of children also present with mild manifestations of COVID-19.
- A study showed 36.3% of children present with a mild form of the disease.
- Severe
- 2.1% of children present with a severe form of COVID-19 disease.
- Children with underlying comorbidities are more susceptible to getting severe COVID-19 disease.
Complication 1
- Multisystem Inflammatory Syndrome in Children(MIS-C)
- It is a condition that causes inflammation of some parts of the body like heart, blood vessels, kidneys, digestive system, brain, skin, or eyes.
- According to recent evidence it is suggested that children with MISC had antibodies against COVID-19 suggesting children had COVID-19 infection in the past.
- It causes following symptoms
- Fever lasting 24 hours or longer.
- Vomiting
- Diarhea
- Pain in the stomach
Skin rash Red eyes Redness or swelling of the lips and tongue Feeling unusually tired Redness or swelling of the hands or feet