Clinical and Epidemiological Features of 46 Children <1 Year Old With Coronavirus Disease 2019 in Wuhan, China: A Descriptive Study

Author:

Liu Xinghua1,Tang Jianqiao2,Xie Rong3,Li Wei1,Chen Jianying1,Guo Yan4,Zhang Bo3,Zhang Yue3,Wang Juanjuan5,Peng Cao6,Lei Xiao7,Luo Qunying7,Zhang Qiong7,Li Yunqiao7

Affiliation:

1. Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

2. Department of Pediatrics, Wuhan Children’s Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

3. Department of Thyroid and Breast Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

4. Wuhan Center for Disease Control and Prevention, Wuhan, China

5. Department of Rheumatology and Immunology, Anhui Provincial Children’s Hospital, Hefei, China

6. Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

7. Department of General Practice, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

Abstract

Abstract The number of coronavirus disease 2019 (COVID-19) cases has exceeded 10 million. However, little is known about the epidemiology and clinical characteristics of COVID-19 infants. We collected medical information of 46 confirmed patients (&lt;1 year old) and retrospectively analyzed epidemiological history, clinical symptoms, and laboratory test results. The median age was 5 (interquartile range, 2–7) months. Sixteen cases had fever and 27 cases had cough. Moderate disease was present in 40 cases and cardiac injury occurred in 38 cases, following by liver dysfunction in 20 cases and lymphopenia in no cases. Of all infant patients, 2 received invasive mechanical ventilation and 1 died with multiple organ dysfunction syndrome.

Funder

National Natural Science Foundation of China

Nature Science Foundation of Hubei Province

Health Research Project of Health and Family Planning Commission of Hubei Province

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

Reference13 articles.

1. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China [in Chinese];Centers for Disease Control and Prevention, Epidemiology Working Group for NCIP Epidemic Response;Zhonghua Liu Xing Bing Xue Za Zhi,2020

2. A pneumonia outbreak associated with a new coronavirus of probable bat origin;Zhou;Nature,2020

3. The characteristics of household transmission of COVID-19 [manuscript published online ahead of print 17 April 2020];Li;Clin Infect Dis,2020

4. Presymptomatic transmission of SARS-CoV-2—Singapore, January 23–March 16, 2020;Wei;MMWR Morb Mortal Wkly Rep,2020

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