By vgreene, 19 May, 2020 Chest radiograph or CT along is not recommended for dx of COVID-19. American College of Radiology also doesn’t recommended CT for screening or as 1st-line tx for dx of COVID-19
By vgreene, 19 May, 2020 CXR in children w/ COVID-19 show patchy infiltrates consistent w/ viral pneumonia; chest CT have shown nodular ground glass opacities. These findings are not specific to COVID-19, may overlap w/ other diagnoses, and some children have no abnormalities
By vgreene, 19 May, 2020 Limited data on lab findings assoc w/ COVID-19 in pediatric pts. Unlike in adults, no consistent leukocyte abnormalities reported
By vgreene, 19 May, 2020 Fewer children require hospitalization (6%-20%) and ICU admission (0.6%-2.0%) compared w/ adults
By vgreene, 19 May, 2020 SARS-CoV-2 may have more affinity for upper resp tract (including nasopharyngeal carriage) than lower resp tract in children
By vgreene, 19 May, 2020 According to largest study of pediatric pts (N>2,000) from China: 4% asymptomatic (no clinical s/sx and normal chest imaging); 51% mild (mild sx, including fever, fatigue, myalgia, cough); 39% moderate (pneumonia w/ sx or subclinical dz w/ abnormal chest