Imaging findings of COVID 19 in children: Literature review

Widiastuti Soewondo 1, *, Ida Prista Maryetty 2, Muhammad Lukman Hermansyah 2, Lilik Lestari 3, Sigit Nugroho Hartanto 4, Reviono 5, Harsini 6, Artrien Adhiputri 7, Ismiranti 8 and Husnia 9

1 Department of Radiology, Dr. Moewardi Hospital/ Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
2 Radiology Department of Dr. Moewardi Hospital, Medical Faculty, Universitas Sebelas maret, Surakarta, Indonesia.
3 Radiology Department of Aria Wirawan Pulmonary Hospital, Salatiga, Central Java, Indonesia.
4 Radiology Department of Pandan Arang Hospital, Boyolali, Cental Java, Indonesia.
5 FISR, Pulmonology Department of RS UNS, Medical Faculty of Universitas Sebelas Maret, Surakarta, Indonesia.
6 FISR, Pulmonology Department of Dr Moewardi Hospital, Universitas Sebelas Maret Surakarta, Indonesia.
7 Pulmonology Department of Dr. Moewardi Hospital. Medical Faculty Universitas Sebelas Maret Surakarta, Indonesia.
8 Pediatric Respirology, Department of Child Health of Dr. Moewardi, Hospital, Medical Faculty Universitas Sebelas Maret, Surakarta, Indonesia.
9 Pediatric Infectious Disease and Tropical Medicine, Department of Child Health of Dr. Moewardi, Hospital, Medical Faculty Universitas Sebelas Maret Surakarta, Indonesia.
 
Review Article
GSC Advanced Research and Reviews, 2021, 08(02), 111–115.
Article DOI: 10.30574/gscarr.2021.8.2.0171
Publication history: 
Received on 14 July 2021; revised on 19 August 2021; accepted on 21 August 2021
 
Abstract: 
Background: SARS-CoV-2 causes respiratory tract infections that can sometimes become severe, and the virus was first identified in Wuhan city, China, in late 2019. The term COVID-19 is used for clinical diseases caused by SARS-CoV-2. The number of cases and literature related to the radiological picture of COVID-19-induced pneumonia, its findings, and contribution to diagnosis, correlation with RT-PCR, and its differences with adults is still limited to pediatric patients.
Methods: We performed literature searches of the latest articles with PubMed, Google Scholar, and Cochrane Library databases published from 2016 to 2020 (5-year span). Two reviewers searched all articles independently (W and I., with more than five years of experience in radiology, respectively).
Results: A total of 35 papers was identified and screened for eligibility from medical databases. There were 24 papers and included in this review. In the population of children, manifestations in radiology are less noticeable. The diagnosis of COVID-19 should prioritize the usage of CXR. Radiology in COVID-19-induced pneumonia may differ between the population of children and adults. Patchy lesions are the most commonly found images on chest x-rays, while bilateral ground-glass opacities (GGO) are the most often features in CT scans. Peribronchial distribution and peribronchial cuffing were more commonly seen in pediatric patients but less frequently found in adults.
Conclusion: The characteristics of radiological features in pediatric patients with COVID-19 infection are patchy lesions, peribronchial distribution, and peribronchial cuffing. 
 
Keywords: 
COVID-19; Pediatric; Pneumonia; Radiology imaging
 
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