Evaluation of Childhood COVID-19 Cases: A Retrospective Analysis

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dc.authoridAslan, Serdar/0000-0003-2950-8767
dc.authoridTEKIN, EMINE/0000-0002-5115-8890
dc.contributor.authorAkoglu, Handan A.
dc.contributor.authorBulut, Muhammet
dc.contributor.authorAlemdar, Dilek K.
dc.contributor.authorAslan, Serdar
dc.contributor.authorCelikkalkan, Kivanc
dc.contributor.authorTursun, Serkan
dc.contributor.authorTekin, Emine
dc.date.accessioned2025-01-21T16:40:37Z
dc.date.available2025-01-21T16:40:37Z
dc.date.issued2021
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective This study aims to evaluate the demographic, epidemiological, and clinical features of novel coronavirus disease 2019 (COVID-19) cases aged between 0 and 18 years. Methods The demographic characteristics of the patients, admission symptoms, contact and travel histories, clinical onset duration, symptoms, treatments, laboratory findings, radiological images, and polymerase chain reaction (PCR) negation times were evaluated in a retrospective manner. Thirty-eight children (19 boys and 19 girls) were included in the study. Discussion The mean age of the patients was 10.365.59 years. The average admission times of the patients after the onset of the symptoms was determined as 1.84 +/- 2.02 days. Thirteen (34.2%) patients were observed as asymptomatic. The most common identified symptoms were fever, cough, and fatigue (55.2, 34.2, and 13.2%, respectively). Febrile convulsions, myalgia, dizziness, and diarrhea were the least common symptoms. Also, 25-hydroxyvitamin D3 (vitamin D3) levels were low and aspartate aminotransferase (AST) values were higher in the moderate group than the mild group and the relationships were statistically significant (p=0.044and 0.027). Ferritin levels of the patients with ground glass opacity (GGO) were found statistically and significantly higher than the patients without GGO (p=0,031). There was more than one lobe and segment involvement in five patients, the average number of affected lobes and segments was 3.8 and 8.8, respectively. High-resolution computed tomography of the 24 patients showed that; GGO in five (20.8%), consolidation+GGO (mixed) in three (12.5%), consolidation (alone) in one, subpleural linear opacities in three (12.5%), and pavement stone opacities in one (4.2%) patient. COVID-19, which is seen less frequently in children, may pose a risk in infants and young children. Conclusion Especially high ferritin levels may present with lung involvement and low vitamin D levels may worsen the aggravation of the lung involvement. There is a great need for further research on this subject.
dc.identifier.doi10.1055/s-0041-1723957
dc.identifier.endpage98
dc.identifier.issn1305-7707
dc.identifier.issn1305-7693
dc.identifier.issue3
dc.identifier.startpage91
dc.identifier.urihttps://doi.org/10.1055/s-0041-1723957
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24723
dc.identifier.volume16
dc.identifier.wosWOS:000621594600005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherGeorg Thieme Verlag Kg
dc.relation.ispartofJournal of Pediatric Infectious Diseases
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectchildren; COVID-19; ferritin; vitamin D
dc.titleEvaluation of Childhood COVID-19 Cases: A Retrospective Analysis
dc.typeArticle

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