tetano
Editor, Senior Moderator
Biomed Environ Sci
. 2020 Aug 20;33(8):614-619.
doi: 10.3967/bes2020.080.
Coronavirus Disease 2019 versus Influenza A in Children: An Observational Control Study in China
Yang Zhao[SUP] 1 [/SUP], De Lin Sun[SUP] 2 [/SUP], Heather C Bouchard[SUP] 2 [/SUP], Xin Xin Zhang[SUP] 3 [/SUP], Gang Wan[SUP] 4 [/SUP], Yi Wei Hao[SUP] 4 [/SUP], Shu Xin He[SUP] 1 [/SUP], Yu Yong Jiang[SUP] 5 [/SUP], Lin Pang[SUP] 1 [/SUP]
Affiliations
Abstract
This study aimed to understand the differences in clinical, epidemiological, and laboratory features between the new coronavirus disease 2019 (COVID-2019) and influenza A in children. Data of 23 hospitalized children with COVID-19 (9 boys, 5.7 ? 3.8 years old) were compared with age- and sex-matched 69 hospitalized and 69 outpatient children with influenza A from a hospital in China. The participants' epidemiological history, family cluster, clinical manifestations, and blood test results were assessed. Compared with either inpatients or outpatients with influenza A, children with COVID-19 showed significantly more frequent family infections and higher ratio of low fever (< 37.3 ?C), but shorter cough and fever duration, lower body temperature, and lower rates of cough, fever, high fever (> 39 ?C), nasal congestion, rhinorrhea, sore throat, vomiting, myalgia or arthralgia, and febrile seizures. They also showed higher counts of lymphocytes, T lymphocyte CD8, and platelets and levels of cholinesterase, aspartate aminotransferase, lactate dehydrogenase, and lactic acid, but lower serum amyloid, C-reactive protein, and fibrinogen levels and erythrocyte sedimentation rate, and shorter prothrombin time. The level of alanine aminotransferase in children with COVID-19 is lower than that in inpatients but higher than that in outpatients with influenza A. Pediatric COVID-19 is associated with more frequent family infection, milder symptoms, and milder immune responses relative to pediatric influenza A.
. 2020 Aug 20;33(8):614-619.
doi: 10.3967/bes2020.080.
Coronavirus Disease 2019 versus Influenza A in Children: An Observational Control Study in China
Yang Zhao[SUP] 1 [/SUP], De Lin Sun[SUP] 2 [/SUP], Heather C Bouchard[SUP] 2 [/SUP], Xin Xin Zhang[SUP] 3 [/SUP], Gang Wan[SUP] 4 [/SUP], Yi Wei Hao[SUP] 4 [/SUP], Shu Xin He[SUP] 1 [/SUP], Yu Yong Jiang[SUP] 5 [/SUP], Lin Pang[SUP] 1 [/SUP]
Affiliations
- PMID: 32933613
- DOI: 10.3967/bes2020.080
Abstract
This study aimed to understand the differences in clinical, epidemiological, and laboratory features between the new coronavirus disease 2019 (COVID-2019) and influenza A in children. Data of 23 hospitalized children with COVID-19 (9 boys, 5.7 ? 3.8 years old) were compared with age- and sex-matched 69 hospitalized and 69 outpatient children with influenza A from a hospital in China. The participants' epidemiological history, family cluster, clinical manifestations, and blood test results were assessed. Compared with either inpatients or outpatients with influenza A, children with COVID-19 showed significantly more frequent family infections and higher ratio of low fever (< 37.3 ?C), but shorter cough and fever duration, lower body temperature, and lower rates of cough, fever, high fever (> 39 ?C), nasal congestion, rhinorrhea, sore throat, vomiting, myalgia or arthralgia, and febrile seizures. They also showed higher counts of lymphocytes, T lymphocyte CD8, and platelets and levels of cholinesterase, aspartate aminotransferase, lactate dehydrogenase, and lactic acid, but lower serum amyloid, C-reactive protein, and fibrinogen levels and erythrocyte sedimentation rate, and shorter prothrombin time. The level of alanine aminotransferase in children with COVID-19 is lower than that in inpatients but higher than that in outpatients with influenza A. Pediatric COVID-19 is associated with more frequent family infection, milder symptoms, and milder immune responses relative to pediatric influenza A.