Covid-19’lu Pediatrik Vakalardaki Toraks Tomografisi Bulgularının Yaşlara Göre Dağılımı , Thoracic computed tomography findings of pediatric COVID-19 cases according to age groups

Authors : Hilal Gülsm TURAN ÖZSOY, Behiye ORAL, İsa KILIÇ

Pages : 48-55

Doi:10.33713/egetbd.1289607

View : 22 | Download : 33

Publication Date : 2023-08-31

Article Type : Research Paper

Abstract :Objective: In this study, we aimed to evaluate thoracic computed tomography insert ignore into journalissuearticles values(CT); findings of pediatric patients with novel coronavirus disease 2019 insert ignore into journalissuearticles values(COVID-19); pneumonia according to age groups. Methods: A total of 105 patients aged between 0 and 18 years who were admitted to our clinic between April 2020 and September 2020 were retrospectively analyzed. The definitive diagnosis was established by reverse transcriptase-polymerase chain reaction insert ignore into journalissuearticles values(RT-PCR); testing of the combined nasopharyngeal/oropharyngeal swabs. The patients were divided into three groups according to age: 0-6, 6-12, and 12-18 years. Thoracic CT findings at the time of initial admission were evaluated. Results: Of the patients, 51 had RT-PCR positivity for COVID-19, while 54 had RT-PCR negativity. Of the RT-PCR-positive patients, 30 insert ignore into journalissuearticles values(58.8%); had normal CT, while lung involvement was observed in 21 patients insert ignore into journalissuearticles values(41.2%);. The most common thoracic CT findings were bilateral lung involvement insert ignore into journalissuearticles values(27.5%);, lower lobe involvement insert ignore into journalissuearticles values(31.4%);, nodular involvement insert ignore into journalissuearticles values(31.4%);, and ground-glass opacity insert ignore into journalissuearticles values(37.3%);. In the 6-12 age group, middle lobe involvement was significantly more frequent insert ignore into journalissuearticles values(p=0.041);. The rate of consolidation significantly decreased with the increasing age insert ignore into journalissuearticles values(p=0.045);. Conclusion: The most common CT findings were bilateral, peripheral lower lobe involvement in pediatric COVID-19 cases. Consolidation was the most frequent lesion in the 0-6 age group, which can be attributed to the high incidence of bacterial co-infection. In the 12-18 age group, the distribution, morphology, and opacity of the lesions were comparable with those seen in adults. The lesions presented with nodular and ground-glass opacity patterns in the 6-12 and 12-18 age groups.
Keywords : COVID 19, pediatric imaging, computed tomography, pneumonia