COVID-19: Manifestações clínicas e diagnóstico em crianças / COVID-19: Clinical manifestations and diagnosis in children
DOI:
https://doi.org/10.34119/bjhrv5n1-268Keywords:
COVID-19, Criança, Sinais e Sintomas, Diagnóstico.Abstract
As crianças de todas as idades podem se contaminar pelo COVID-19, particularmente aquelas com menos de 12 a 14 anos de idade, parecem ser afetadas menos comumente do que os adultos, embora as crianças normalmente tenham um risco menor de exposição do que os adultos e sejam testadas com menos frequência do que os adultos, a incidência de contaminação em crianças aumenta com o aumento da idade. As crianças de todas as idades podem transmitir SARS-CoV-2 para outras, mas a taxa de transmissão por crianças pequenas é incerta. As crianças mais velhas e adolescentes transmitem SARS-CoV-2 efetivamente em ambientes domésticos e comunitários. As crianças infectadas eliminam o vírus SARS-CoV-2 com cargas virais nasofaríngeas comparáveis ou superiores às dos adultos. As cargas virais e o risco de transmissão parecem ser maiores em indivíduos sintomáticos do que assintomáticos.
References
World Health Organization (WHO). WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020.
Leidman E, Duca LM, Omura JD, et al. COVID-19 Trends Among Persons Aged 0-24 Years - United States, March 1-December 12, 2020. MMWR Morb Mortal Wkly Rep 2021; 70:88.
Beck A, Gandhi M. Adjudicating Reasons for Hospitalization Reveals That Severe Illness From COVID-19 in Children Is Rare. Hosp Pediatr 2021; 11:e159.
Ng KW, Faulkner N, Cornish GH, et al. Preexisting and de novo humoral immunity to SARS-CoV-2 in humans. Science 2020; 370:1339.
Molteni E, Sudre CH, Canas LS, et al. Illness duration and symptom profile in symptomatic UK school-aged children tested for SARS-CoV-2. Lancet Child Adolesc Health 2021.
Swann OV, Holden KA, Turtle L, et al. Clinical characteristics of children and young people admitted to hospital with covid-19 in United Kingdom: prospective multicentre observational cohort study. BMJ 2020; 370:m3249.
Pongpirul WA, Mott JA, Woodring JV, et al. Clinical Characteristics of Patients Hospitalized with Coronavirus Disease, Thailand. Emerg Infect Dis 2020; 26:1580.
Posfay-Barbe KM, Wagner N, Gauthey M, et al. COVID-19 in Children and the Dynamics of Infection in Families. Pediatrics 2020; 146.
Bixler D, Miller AD, Mattison CP, et al. SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020. MMWR Morb Mortal Wkly Rep 2020; 69:1324.
Somekh I, Sharabi A, Dory Y, et al. Intrafamilial Spread and Altered Symptomatology of SARS-CoV-2, During Predominant Circulation of Lineage B.1.1.7 Variant in Israel. Pediatr Infect Dis J 2021; 40:e310.
Brown NE, Bryant-Genevier J, Bandy U, et al. Antibody Responses after Classroom Exposure to Teacher with Coronavirus Disease, March 2020. Emerg Infect Dis 2020; 26.
Dawson P, Worrell MC, Malone S, et al. Pilot Investigation of SARS-CoV-2 Secondary Transmission in Kindergarten Through Grade 12 Schools Implementing Mitigation Strategies - St. Louis County and City of Springfield, Missouri, December 2020. MMWR Morb Mortal Wkly Rep 2021; 70:449.
Levin Z, Choyke K, Georgiou A, et al. Trends in Pediatric Hospitalizations for Coronavirus Disease 2019. JAMA Pediatr 2021; 175:415.
Stokes EK, Zambrano LD, Anderson KN, et al. Coronavirus Disease 2019 Case Surveillance - United States, January 22-May 30, 2020. MMWR Morb Mortal Wkly Rep 2020; 69:759.
Wu L, O'Kane AM, Peng H, et al. SARS-CoV-2 and cardiovascular complications: From molecular mechanisms to pharmaceutical management. Biochem Pharmacol 2020; 178:114114.
Paz L, Eslava E, Ribes M, Mayer EF. Acute Pancreatitis in a Teenager With SARS-CoV-2 Infection. Pediatr Infect Dis J 2021; 40:e161.
Kan MJ, Grant LMC, Muña MA, Greenhow TL. Fever Without a Source in an Infant Due to Severe Acute Respiratory Syndrome Coronavirus-2. J Pediatric Infect Dis Soc 2021; 10:49.
Shelmerdine SC, Lovrenski J, Caro-Domínguez P, et al. Coronavirus disease 2019 (COVID-19) in children: a systematic review of imaging findings. Pediatr Radiol 2020; 50:1217.
Parri N, Lenge M, Cantoni B, et al. COVID-19 in 17 Italian Pediatric Emergency Departments. Pediatrics 2020; 146.
Lanyon N, du Pré P, Thiruchelvam T, et al. Critical paediatric COVID-19: varied presentations but good outcomes. Arch Dis Child 2021; 106:e10.
Patel AB, Clifford A, Creaden J, et al. Severe Acute Respiratory Syndrome Coronavirus 2 Point Prevalence Among Asymptomatic Hospitalized Children and Subsequent Healthcare Worker Evaluation. J Pediatric Infect Dis Soc 2020; 9:617.


