milder presentation-a silver lining in dark cloud Ramteke, Sharmila Tikkas, Rajesh Goel, Manjusha Mandraha, Shipra Shrivastava, Jyotsna text monographic eng

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Objective To assess the clinico-epidemiological profile of paediatric patients with Corona virus disease 2019 (COVID-19) infection during the pandemic. Methods Clinico-epidemiological and laboratory profile of children between 1 month and 14 years were studied between 15 May and 31 July 2020, who had positive nasopharyngeal and oropharyngeal swab for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) by reverse transcriptase–polymerase chain reaction (RT-PCR). Results A total of 30 children with median age of 10.5 years (8 months to 14 years) were included in the present study. Sixty percent were boys. Twenty-seven (90%) belonged to an urban area and all 30 children were from a containment area. All were belonging to Kuppuswamy upper lower and lower socioeconomic class. Twenty-one (70%) were asymptomatic. All children had a positive household contact. Symptomatic children had only mild symptoms of fever, dry cough and rhinitis. All were fully vaccinated as per age. Nine (30%) had anaemia. The mean leucocyte count was 7470 ± 2427 (4300–14 100). Leucocytosis was seen in 3 (9%) children. C-reactive protein was found to be raised in only 4 (13%) children. We did not find alteration in sense of smell and taste. No mortality was reported. Conclusion COVID-19 in paediatric patients is usually mild. Severe acute respiratory infection is not a major manifestation of COVID 19 infection in children. All children infected by the novel Corona virus-2 in this study, have a documented household contact. Sharmila Ramteke [and four others] In: Journal of Tropical Pediatrics, 2020, (00) pages: 1–5 COVID 19 Child Clinico-epidemiological Profile https://watermark.silverchair.com/fmaa106.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAr8wggK7BgkqhkiG9w0BBwagggKsMIICqAIBADCCAqEGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM-EcqoE6JbOI-srFcAgEQgIICcolcFTKfVJLYMtfbcv2uPrTblS9Uxe7oULc4CSGEvh93qTYsVfSNXhvsxgB1Ecga8ZbuQvH_bbFOxxCRPvsNq-SWkDfadRsgHJHRCmAFUAG4t6GXUq0GLeKlclA4cNNYSkDI1RtOpxniGKLk342MZMzoMBXCTZraw-09TJvdKuIaWpK-nM7NAivjYs1POL_55tD1aP57_-K6h0l3okJpEAsaH7WtwJZtcc-nWGdMBdymTTkdos0Ou_hRR4B9dTWNUpmKpwNUOCsURpCggDAXYZG-QZrTvDqFb7R2otYFSeTwFjwxbcQtN3ZRSep8dRTcvkbVodQhkMO2LwGocndjUtWDKhzmiqIPFR0HzWEml9sZiymR46TvRSu65AU9FEbi5HGuI7krOuqXGvs9ICPJRBK-tiiKiu5BpHrcgcj8YxsKc_sEBJipLy9U8OxMafBWXOPiDiojC58vvVPEvK3WmkDyIe2sJlXiSm1xY8QSwYOtka5Mr7OINm2MsJ05cvNh0UkwepR195mIs84yMG5s-hbWA3H1-Ajs2-iqITuNpwUbEhMDMa7TLIdwVM4ahwqg8A4sZXaV93Mhx_KabY7O30sSlVYY7QzPci6Mq6TKu6aWvRTN8GrSdyjB-fXXuJmHycEsnzPnia0z1DTp5D5YrLEWefp-NbQ5hSEAFLM_hqcIFWbsyAC-jm1xrvmzj83uO-yZCPFiZZrrIPOJwB-_BJXfq9znJcT_rJjuJMfK8tg7us4IgEF9SVwoaaBN0yCFJw-hCIb-C2-kWJkc1zZYBt_yReB97LFW1wfZj4FZ_lIXDoeFhm4qkHL7CpKwpU5eAb-S https://watermark.silverchair.com/fmaa106.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAr8wggK7BgkqhkiG9w0BBwagggKsMIICqAIBADCCAqEGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM-EcqoE6JbOI-srFcAgEQgIICcolcFTKfVJLYMtfbcv2uPrTblS9Uxe7oULc4CSGEvh93qTYsVfSNXhvsxgB1Ecga8ZbuQvH_bbFOxxCRPvsNq-SWkDfadRsgHJHRCmAFUAG4t6GXUq0GLeKlclA4cNNYSkDI1RtOpxniGKLk342MZMzoMBXCTZraw-09TJvdKuIaWpK-nM7NAivjYs1POL_55tD1aP57_-K6h0l3okJpEAsaH7WtwJZtcc-nWGdMBdymTTkdos0Ou_hRR4B9dTWNUpmKpwNUOCsURpCggDAXYZG-QZrTvDqFb7R2otYFSeTwFjwxbcQtN3ZRSep8dRTcvkbVodQhkMO2LwGocndjUtWDKhzmiqIPFR0HzWEml9sZiymR46TvRSu65AU9FEbi5HGuI7krOuqXGvs9ICPJRBK-tiiKiu5BpHrcgcj8YxsKc_sEBJipLy9U8OxMafBWXOPiDiojC58vvVPEvK3WmkDyIe2sJlXiSm1xY8QSwYOtka5Mr7OINm2MsJ05cvNh0UkwepR195mIs84yMG5s-hbWA3H1-Ajs2-iqITuNpwUbEhMDMa7TLIdwVM4ahwqg8A4sZXaV93Mhx_KabY7O30sSlVYY7QzPci6Mq6TKu6aWvRTN8GrSdyjB-fXXuJmHycEsnzPnia0z1DTp5D5YrLEWefp-NbQ5hSEAFLM_hqcIFWbsyAC-jm1xrvmzj83uO-yZCPFiZZrrIPOJwB-_BJXfq9znJcT_rJjuJMfK8tg7us4IgEF9SVwoaaBN0yCFJw-hCIb-C2-kWJkc1zZYBt_yReB97LFW1wfZj4FZ_lIXDoeFhm4qkHL7CpKwpU5eAb-S 210115 20210115124934.0 D0001C000121