Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-17T16:37:14.729Z Has data issue: false hasContentIssue false

A systematic review and meta-analysis of otorhinolaryngological manifestations of coronavirus disease 2019 in paediatric patients

Published online by Cambridge University Press:  17 February 2022

M Yadav
Affiliation:
Department of Paediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children's Hospital, New Delhi, India
A Singh*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, New Delhi, India
J Meena
Affiliation:
Department of Paediatric Nephrology Unit, Advanced Paediatrics Centre, Post-Graduate Institute of Medical Education and Research, Chandigarh, India
J M Sankar
Affiliation:
Department of Paediatrics, All India Institute of Medical Sciences, New Delhi, India
*
Author for correspondence: Dr Anup Singh, room no. 4057, ENT Office, 4th floor, Teaching Block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi110029, India E-mail: anoop.aiims1@gmail.com

Abstract

Background

This meta-analysis provides a quantitative measure of the otorhinolaryngological manifestations of coronavirus disease 2019 in children.

Methods

A structured literature review was carried out using PubMed, Embase and Cochrane Central, employing pertinent search terms. The statistical analysis was performed using Stata version 14.2 software, and the analysed data were expressed as the pooled prevalence of the symptoms with 95 per cent confidence intervals.

Results

The commonest symptoms noted were cough (38 per cent (95 per cent confidence interval = 33–42; I2 = 97.5 per cent)), sore throat (12 per cent (95 per cent confidence interval =10–14; I2 = 93.7 per cent)), and nasal discharge (15 per cent (95 per cent confidence interval = 12–19; I2 = 96.9 per cent)). Anosmia and taste disturbances showed a pooled prevalence of 8 per cent each. Hearing loss, vertigo and hoarseness were rarely reported.

Conclusion

Cough, sore throat and nasal discharge were the commonest otorhinolaryngological symptoms in paediatric patients with coronavirus disease 2019. Compared with adults, anosmia and taste disturbances were infrequently reported in children.

Type
Review Article
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr A Singh takes responsibility for the integrity of the content of the paper

References

WHO Coronavirus (COVID-19) Dashboard. In: https://covid19.who.int [23 October 2021]Google Scholar
Bhopal, SS, Bagaria, J, Olabi, B, Bhopal, R. Children and young people remain at low risk of COVID-19 mortality. Lancet Child Adolesc Health 2021;5:e1213CrossRefGoogle Scholar
Fu, L, Wang, B, Yuan, T, Chen, X, Ao, Y, Fitzpatrick, T et al. Clinical characteristics of coronavirus disease 2019 (COVID-19) in China: a systematic review and meta-analysis. J Infect 2020;80:656–65CrossRefGoogle ScholarPubMed
Stroup, DF, Berlin, JA, Morton, SC, Olkin, I, Williamson, GD, Rennie, D et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 2000;283:2008–12Google Scholar
Hoy, D, Brooks, P, Woolf, A, Blyth, F, March, L, Bain, C et al. Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol 2012;65:934–9CrossRefGoogle ScholarPubMed
Ouzzani, M, Hammady, H, Fedorowicz, Z, Elmagarmid, A. Rayyan--a web and mobile app for systematic reviews. Syst Rev 2016;5:210CrossRefGoogle ScholarPubMed
Prata-Barbosa, A, Lima-Setta, F, Santos, GRD, Lanziotti, VS, de Castro, REV, de Souza, DC et al. Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study. J Pediatr (Rio J) 2020;96:582–92CrossRefGoogle ScholarPubMed
Hurst, JH, Heston, SM, Chambers, HN, Cunningham, HM, Price, MJ, Suarez, L et al. SARS-CoV-2 infections among children in the Biospecimens from Respiratory Virus-Exposed Kids (BRAVE Kids) study. Clin Infect Dis 2021;73:e2875–82CrossRefGoogle ScholarPubMed
Hijazi, LO, Alaraifi, AK, Alsaab, F. Otolaryngology manifestations of COVID-19 in pediatric patients. Int J Pediatr Otorhinolaryngol 2021;144:110701CrossRefGoogle ScholarPubMed
Bernaola Abraira, M, Bartha De Las Peñas, I, López-Araujo, GA, Escudero Diez, C, Rodríguez Del Río, P, Morales-Cabeza, C et al. Olfactory and gustatory dysfunction in pediatric patients with coronavirus disease (COVID-19). J Investig Allergol Clin Immunol 2021;31:277–9CrossRefGoogle Scholar
Adedeji, IA, Abdu, YM, Bashir, MF, Adamu, AS, Gwarzo, GD, Yaro, BS et al. Profile of children with COVID-19 infection: a cross sectional study from North-East Nigeria. Pan Afr Med J 2020;35(suppl 2):145CrossRefGoogle ScholarPubMed
Alnajjar, AA, Dohain, AM, Abdelmohsen, GA, Alahmadi, TS, Zaher, ZF, Abdelgalil, AA. Clinical characteristics and outcomes of children with COVID-19 in Saudi Arabia. Saudi Med J 2021;42:391–8CrossRefGoogle ScholarPubMed
Arslan, G, Aktürk, H, Duman, M. Clinical characteristics of pediatric COVID-19 and predictors of PCR positivity. Pediatr Int 2021;63:1055–61CrossRefGoogle Scholar
Bai, K, Liu, W, Liu, C, Fu, Y, Hu, J, Qin, Y et al. Clinical analysis of 25 COVID-19 infections in children. Pediatr Infect Dis J 2020;39:e100–3CrossRefGoogle ScholarPubMed
Bardellini, E, Bondioni, MP, Amadori, F, Veneri, F, Lougaris, V, Meini, A et al. Non-specific oral and cutaneous manifestations of coronavirus disease 2019 in children. Med Oral Patol Oral Cir Bucal 2021;26:e549–53CrossRefGoogle ScholarPubMed
Bayesheva, D, Boranbayeva, R, Turdalina, B, Fakhradiyev, I, Saliev, T, Tanabayeva, S et al. COVID-19 in the paediatric population of Kazakhstan. Paediatr Int Child Health 2020;41:76–8CrossRefGoogle ScholarPubMed
Natera-de Benito, D, Aguilera-Albesa, S, Costa-Comellas, L, García-Romero, M, Miranda-Herrero, MC, Rúbies Olives, J et al. COVID-19 in children with neuromuscular disorders. J Neurol 2021;268:3081–5CrossRefGoogle ScholarPubMed
Böncüoğlu, E, Coşkun, M, Kıymet, E, Öztürk Atasoy, T, Şahinkaya, Ş, Cem, E et al. Can laboratory findings predict pulmonary involvement in children with COVID-19 infection? Pediatr Pulmonol 2021;56:2489–94CrossRefGoogle ScholarPubMed
Bustos-Cordova, E, Castillo-García, D, Cerón-Rodríguez, M, Soler-Quiñones, N. Clinical spectrum of COVID-19 in a Mexican pediatric population. Indian Pediatr 2020;58:126–8CrossRefGoogle Scholar
Cairoli, H, Raiden, S, Chiolo, MJ, Di Lalla, S, Ferrero, F. Patients assisted at the department of medicine of a pediatric hospital at the beginning of the COVID-19 pandemic in Buenos Aires, Argentina. Arch Argent Pediatr 2020;118:418–26Google ScholarPubMed
Calitri, C, Fantone, F, Benetti, S, Lupica, MM, Ignaccolo, MG, Banino, E et al. Long-term clinical and serological follow-up of paediatric patients infected by SARS-CoV-2. Infez Med 2021;29:216–23Google ScholarPubMed
Caro-Dominguez, P, Shelmerdine, SC, Toso, S, Secinaro, A, Toma, P, Damasio, MB et al. Thoracic imaging of coronavirus disease 2019 (COVID-19) in children: a series of 91 cases. Pediatr Radiol 2020;50:1354–68CrossRefGoogle ScholarPubMed
CDC COVID-19 Response Team. Coronavirus disease 2019 in children - United States, February 12-April 2, 2020. MMWR Morb Mortal Wkly Rep 2020;69:422–6CrossRefGoogle Scholar
Chen, Z, Tong, L, Zhou, Y, Hua, C, Wang, W, Fu, J et al. Childhood COVID-19: a multicentre retrospective study. Clin Microbiol Infect 2020;26:1260.e1–4CrossRefGoogle ScholarPubMed
Chua, GT, Xiong, X, Choi, EH, Han, MS, Chang, SH, Jin, BL et al. COVID-19 in children across three Asian cosmopolitan regions. Emerg Microbes Infect 2020;9:2588–96CrossRefGoogle ScholarPubMed
Chua, GT, Wong, JSC, Lam, I, Ho, PPK, Chan, WH, Yau, FYS et al. Clinical characteristics and transmission of COVID-19 in children and youths during 3 waves of outbreaks in Hong Kong. JAMA Netw Open 2021;4:e218824CrossRefGoogle ScholarPubMed
Cleto-Yamane, TL, Rodrigues-Santos, G, de Magalhães-Barbosa, MC, Moura, PG, Vasconcelos, RD, Gouveia, JLS et al. Screening of COVID-19 in outpatient children with cancer or solid organ transplantation: preliminary report. Eur J Pediatr 2021;180:3237–41CrossRefGoogle ScholarPubMed
Concheiro-Guisan, A, Fiel-Ozores, A, Novoa-Carballal, R, González-Duran, ML, Portugués de la Red, M, Martínez-Reglero, C et al. Subtle olfactory dysfunction after SARS-CoV-2 virus infection in children. Int J Pediatr Otorhinolaryngol 2021;140:110539CrossRefGoogle ScholarPubMed
Costa, A, Almeida, H, Moniz, M, Alves, C. COVID-19 screening in a Portuguese pediatric population. Enferm Infecc Microbiol Clin (Engl Ed) 2022;40:2831CrossRefGoogle Scholar
De Jacobis, IT, Vona, R, Cittadini, C, Marchesi, A, Cursi, L, Gambardella, L et al. Clinical characteristics of children infected with SARS-CoV-2 in Italy. Ital J Pediatr 2021;47:90CrossRefGoogle ScholarPubMed
Du, H, Dong, X, Zhang, J-J, Cao, Y-Y, Akdis, M, Huang, P-Q et al. Clinical characteristics of 182 pediatric COVID-19 patients with different severities and allergic status. Allergy 2020;76:510–32CrossRefGoogle ScholarPubMed
Duramaz, BB, Turel, O, Korkmaz, C, Karadogan, MT, Yozgat, CY, Iscan, A et al. A snapshot of pediatric patients with COVID-19 in a pandemic hospital. Klin Padiatr 2021;233:2430Google Scholar
Elghoudi, A, Aldhanhani, H, Ghatasheh, G, Sharif, E, Narchi, H. Covid-19 in children and young adolescents in Al Ain, United Arab Emirates - a retrospective cross-sectional study. Front Pediatr 2021;8:603741CrossRefGoogle Scholar
Erat, T, Güler, Ş. Use of radiological tests in COVID-19 positive child cases: is chest computed tomography necessary? Int J Clin Pract 2021;75:e14259CrossRefGoogle ScholarPubMed
Fakiri, KE, Nassih, H, Sab, IA, Draiss, G, Bouskraoui, M. Epidemiology and clinical features of coronavirus disease 2019 in Moroccan children. Indian Pediatr 2020;57:808–10CrossRefGoogle ScholarPubMed
Foster, CE, Marquez, L, Davis, AL, Tocco, E, Koy, TH, Dunn, J et al. A surge in pediatric coronavirus disease 2019 cases: the experience of Texas Children's Hospital from March to June 2020. J Pediatric Infect Dis Soc 2021;10:593–8CrossRefGoogle Scholar
Gaborieau, L, Delestrain, C, Bensaid, P, Vizeneux, A, Blanc, P, Garraffo, A et al. Epidemiology and clinical presentation of children hospitalized with SARS-CoV-2 infection in suburbs of Paris. J Clin Med 2020;9:2227CrossRefGoogle Scholar
Garazzino, S, Lo Vecchio, A, Pierantoni, L, Calò Carducci, FI, Marchetti, F, Meini, A et al. Epidemiology, clinical features and prognostic factors of pediatric SARS-CoV-2 infection: results from an Italian multicenter study. Front Pediatr 2021;9:649358CrossRefGoogle ScholarPubMed
Geis, T, Brandstetter, S, Toncheva, AA, Laub, O, Leipold, G, Wagner, R et al. Serum neurofilament light chain (sNfL) values in a large cross-sectional population of children with asymptomatic to moderate COVID-19. J Neurol 2021;268:3969–74CrossRefGoogle Scholar
Goss, MB, Galván, NTN, Ruan, W, Munoz, FM, Brewer, ED, O'Mahony, CA et al. The pediatric solid organ transplant experience with COVID-19: an initial multi-center, multi-organ case series. Pediatr Transplant 2021;25:e13868CrossRefGoogle ScholarPubMed
Guo, CX, He, L, Yin, JY, Meng, XG, Tan, W, Yang, GP et al. Epidemiological and clinical features of pediatric COVID-19. BMC Med 2020;18:250CrossRefGoogle ScholarPubMed
Han, MS, Choi, EH, Chang, SH, Jin, B-L, Lee, EJ, Kim, BN et al. Clinical characteristics and viral RNA detection in children with coronavirus disease 2019 in the Republic of Korea. JAMA Pediatr 2021;175:7380CrossRefGoogle ScholarPubMed
Hassan, M, Khalil, A, Magboul, S, Alomari, O, Abdalla, T, Alsliman, H et al. Neonates and young infants with Covid-19 presented with sepsis-like syndrome: a retrospective case controlled study. Front Pediatr 2021;9:634844CrossRefGoogle Scholar
Jamjoom, RS. Coronavirus disease 2019 (COVID-19) in pediatric emergency. Presentation and disposition. Saudi Med J 2021;42:105–9CrossRefGoogle Scholar
Li, J, Thoon, KC, Chong, CY, Maiwald, M, Kam, KQ, Nadua, K et al. Comparative analysis of symptomatic and asymptomatic SARS-CoV-2 infection in children. Ann Acad Med Singap 2020;49:530–7CrossRefGoogle ScholarPubMed
Kainth, MK, Goenka, PK, Williamson, KA, Fishbein, JS, Subramony, A, Barone, S et al. Early experience of COVID-19 in a US children's hospital. Pediatrics 2020;146:e2020003186CrossRefGoogle Scholar
Kanburoglu, MK, Tayman, C, Oncel, MY, Akin, IM, Can, E, Demir, N et al. A multicentered study on epidemiologic and clinical characteristics of 37 neonates with community-acquired COVID-19. Pediatr Infect Dis J 2020;39:e297302CrossRefGoogle Scholar
Kanthimathinathan, HK, Dhesi, A, Hartshorn, S, Ali, SH, Kirk, J, Nagakumar, P et al. COVID-19: a UK children's hospital experience. Hosp Pediatr 2020;10:802–5CrossRefGoogle ScholarPubMed
Karbuz, A, Akkoc, G, Bedir Demirdag, T, Yilmaz Ciftdogan, D, Ozer, A, Cakir, D et al. Epidemiological, clinical, and laboratory features of children with COVID-19 in Turkey. Front Pediatr 2021;9:631547CrossRefGoogle ScholarPubMed
Kilani, MM, Odeh, MM, Shalabi, M, Al Qassieh, R, Al-Tamimi, M. Clinical and laboratory characteristics of SARS-CoV2-infected paediatric patients in Jordan: serial RT-PCR testing until discharge. Paediatr Int Child Health 2020;41:8392CrossRefGoogle ScholarPubMed
Kim, K, Choi, JW, Moon, J, Akilov, H, Tuychiev, L, Rakhimov, B et al. Clinical features of COVID-19 in Uzbekistan. J Korean Med Sci 2020;35:e404CrossRefGoogle ScholarPubMed
King, JA, Whitten, TA, Bakal, JA, McAlister, FA. Symptoms associated with a positive result for a swab for SARS-CoV-2 infection among children in Alberta. CMAJ 2021;193:E19CrossRefGoogle ScholarPubMed
Korkmaz, MF, Türe, E, Dorum, BA, Kılıç, ZB. The epidemiological and clinical characteristics of 81 children with COVID-19 in a pandemic hospital in Turkey: an observational cohort study. J Korean Med Sci 2020;35:e236CrossRefGoogle Scholar
Krajcar, N, Stemberger Marić, L, Šurina, A, Kurečić Filipović, S, Trkulja, V, Roglić, S et al. Epidemiological and clinical features of Croatian children and adolescents with a PCR-confirmed coronavirus disease 2019: differences between the first and second epidemic wave. Croat Med J 2020;61:491500CrossRefGoogle ScholarPubMed
Li, K, Li, L, Wang, X, Li, H, Chen, J, Liu, L et al. Comparative analysis of clinical features of SARS-CoV-2 and adenovirus infection among children. Virol J 2020;17:193CrossRefGoogle ScholarPubMed
Kumar, L, Kahlon, N, Jain, A, Kaur, J, Singh, M, Pandey, AK. Loss of smell and taste in COVID-19 infection in adolescents. Int J Pediatr Otorhinolaryngol 2021;142:110626CrossRefGoogle ScholarPubMed
Lavaine, O, Spizzo, J, Arbitre, C, Muller, J, Kuhn, P, Laugel, V et al. COVID-19 in children at Strasbourg University Hospital: a retrospective study of the first 2 months of the epidemic. Arch Pediatr 2021;28:405–10CrossRefGoogle ScholarPubMed
Lazzerini, M, Sforzi, I, Trapani, S, Biban, P, Silvagni, D, Villa, G et al. Characteristics and risk factors for SARS-CoV-2 in children tested in the early phase of the pandemic: a cross-sectional study, Italy, 23 February to 24 May 2020. Euro Surveill 2021;26:2001248CrossRefGoogle ScholarPubMed
Leung, C. The younger the milder clinical course of COVID-19: even in newborns? Pediatr Allergy Immunol 2020;32:358–62CrossRefGoogle ScholarPubMed
Liang, F, Wang, X, Shao, J, Chen, J, Liu, L, Li, H et al. Comparison of clinical features on admission between coronavirus disease 2019 and influenza A among children: a retrospective study in China. BMC Infect Dis 2021;21:365CrossRefGoogle ScholarPubMed
Liu, X, Tang, J, Xie, R, Li, W, Chen, J, Guo, Y et al. Clinical and epidemiological features of 46 children <1 year old with coronavirus disease 2019 in Wuhan, China: a descriptive study. J Infect Dis 2020;222:1293–7CrossRefGoogle ScholarPubMed
Luo, H, Liu, S, Wang, Y, Phillips-Howard, PA, Ju, S, Yang, Y et al. Age differences in clinical features and outcomes in patients with COVID-19, Jiangsu, China: a retrospective, multicentre cohort study. BMJ Open 2020;10:e039887CrossRefGoogle ScholarPubMed
Madhusoodhan, PP, Pierro, J, Musante, J, Kothari, P, Gampel, B, Appel, B et al. Characterization of COVID-19 disease in pediatric oncology patients: the New York-New Jersey regional experience. Pediatr Blood Cancer 2020;68:e28843Google ScholarPubMed
Mahmoudi, S, Mehdizadeh, M, Shervin Badv, R, Navaeian, A, Pourakbari, B, Rostamyan, M et al. The coronavirus disease 2019 (COVID-19) in children: a study in an Iranian children's referral hospital. Infect Drug Resist 2020;13:2649–55CrossRefGoogle Scholar
Mania, A, Mazur-Melewska, K, Lubarski, K, Kuczma-Napierała, J, Mazurek, J, Jończyk-Potoczna, K et al. Wide spectrum of clinical picture of COVID-19 in children - from mild to severe disease. J Infect Public Health 2021;14:374–9CrossRefGoogle ScholarPubMed
Mamishi, S, Heydari, H, Aziz-Ahari, A, Shokrollahi, MR, Pourakbari, B, Mahmoudi, S et al. Novel coronavirus disease 2019 (COVID-19) outbreak in children in Iran: atypical CT manifestations and mortality risk of severe COVID-19 infection. J Microbiol Immunol Infect 2020;54:839–44CrossRefGoogle ScholarPubMed
Mannheim, J, Gretsch, S, Layden, JE, Fricchione, MJ. Characteristics of hospitalized pediatric coronavirus disease 2019 cases in Chicago, Illinois, March-April 2020. J Pediatr Infect Dis Soc 2020;9:519–22CrossRefGoogle Scholar
He, M, Wang, C, Xu, L, Zhang, H, Liu, Y, Zhao, Y et al. Epidemiological and clinical characteristics of 35 children with COVID-19 in Beijing, China. Pediatr Investig 2020;4:230–5CrossRefGoogle ScholarPubMed
Mizrahi, B, Shilo, S, Rossman, H, Kalkstein, N, Marcus, K, Barer, Y et al. Longitudinal symptom dynamics of COVID-19 infection. Nat Commun 2020;11:6208CrossRefGoogle ScholarPubMed
Nallasamy, K, Angurana, SK, Jayashree, M, Mathew, JL, Bansal, A, Singh, MP et al. Clinical profile, hospital course and outcome of children with COVID-19. Indian J Pediatr 2021;88:979–84CrossRefGoogle ScholarPubMed
Ma, N, Li, P, Wang, X, Yu, Y, Tan, X, Chen, P et al. Ocular manifestations and clinical characteristics of children with laboratory-confirmed COVID-19 in Wuhan, China. JAMA Ophthalmol 2020;138:1079–86CrossRefGoogle ScholarPubMed
Nanavati, R, Mascarenhas, D, Goyal, M, Haribalakrishna, A, Nataraj, G. A single-center observational study on clinical features and outcomes of 21 SARS-CoV-2-infected neonates from India. Eur J Pediatr 2021;180:1895–906CrossRefGoogle ScholarPubMed
Nathan, N, Prevost, B, Sileo, C, Richard, N, Berdah, L, Thouvenin, G et al. The wide spectrum of COVID-19 clinical presentation in children. J Clin Med 2020;9:2950CrossRefGoogle ScholarPubMed
Ozkan, EA, Erdeniz, EH. Evaluation of children followed up for Covid-19 in a tertiary hospital. J Exp Clin Med (Turkey) 2021;38:125–31CrossRefGoogle Scholar
Parri, N, Lenge, M, Cantoni, B, Arrighini, A, Romanengo, M, Urbino, A et al. COVID-19 in 17 Italian pediatric emergency departments. Pediatrics 2020;146:e20201235CrossRefGoogle ScholarPubMed
Peng, X, Guo, Y, Xiao, H, Xia, W, Zhai, A, Zhu, B et al. Overview of chest involvement at computed tomography in children with coronavirus disease 2019 (COVID-19). Pediatr Radiol 2021;51:222–30CrossRefGoogle Scholar
Pérez-Gaxiola, G, Flores-Rocha, R, Valadez-Vidarte, JC, Hernández-Alcaraz, M, Herrera-Mendoza, G, Real-Lugo, MÁD. Clinical and epidemiological characteristics of children with SARS-CoV-2 infection: a case series in Sinaloa. Bol Med Hosp Infant Mex 2021;78:1823Google ScholarPubMed
Pourakbari, B, Mahmoudi, S, Mahmoudieh, Y, Eshaghi, H, Navaeian, A, Rostamyan, M et al. SARS-CoV-2 RNAaemia in children: an Iranian referral hospital-based study. J Med Virol 2021;93:5452–7CrossRefGoogle ScholarPubMed
Qiu, H, Wu, J, Hong, L, Luo, Y, Song, Q, Chen, D. Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study. Lancet Infect Dis 2020;20:689–96CrossRefGoogle Scholar
Otto, WR, Geoghegan, S, Posch, LC, Bell, LM, Coffin, SE, Sammons, JS et al. The epidemiology of severe acute respiratory syndrome coronavirus 2 in a pediatric healthcare network in the United States. J Pediatr Infect Dis Soc 2020;9:523–9CrossRefGoogle Scholar
Rabha, AC, Oliveira Junior, FI, Oliveira, TA, Cesar, RG, Fongaro, G, Mariano, RF et al. Clinical manifestations of children and adolescents with Covid-19: report of the first 115 cases from Sabará Hospital Infantil. Rev Paul Pediatr 2020;39:e2020305CrossRefGoogle ScholarPubMed
Ramteke, S, Tikkas, R, Goel, M, Mandraha, S, Shrivastava, J. Paediatric COVID-19: milder presentation--a silver lining in dark cloud. J Trop Pediatr 2021;67:fmaa106CrossRefGoogle ScholarPubMed
Ranabothu, S, Onteddu, S, Nalleballe, K, Dandu, V, Veerapaneni, K, Veerapandiyan, A. Spectrum of COVID-19 in children. Acta Paediatr 2020;109:1899–900CrossRefGoogle ScholarPubMed
Rouger-Gaudichon, J, Thébault, E, Félix, A, Phulpin, A, Paillard, C, Alimi, A et al. Impact of the first wave of COVID-19 on pediatric oncology and hematology: a report from the French Society of Pediatric Oncology. Cancers (Basel) 2020;12:3398CrossRefGoogle ScholarPubMed
Rusetsky, Y, Meytel, I, Mokoyan, Z, Fisenko, A, Babayan, A, Malyavina, U. Smell status in children infected with SARS-CoV-2. Laryngoscope 2021;131:E2475–80CrossRefGoogle ScholarPubMed
Sarangi, B, Reddy, VS, Oswal, JS, Malshe, N, Patil, A, Chakraborty, M et al. Epidemiological and clinical characteristics of COVID-19 in Indian children in the initial phase of the pandemic. Indian Pediatr 2020;57:914–17CrossRefGoogle ScholarPubMed
Sena, GR, Lima, TPF, Vidal, SA, Duarte M do, CMB, Bezerra, PGM, Fonseca Lima, EJ et al. Clinical characteristics and mortality profile of COVID-19 patients aged less than 20 years old in Pernambuco - Brazil. Am J Trop Med Hyg 2021;104:1507–12CrossRefGoogle ScholarPubMed
Shahbaznejad, L, Rouhanizadeh, H, Navaeifar, MR, Hosseinzadeh, F, Movahedi, FS, Rezai, MS. Clinical characteristics and outcomes of COVID-19 in children in Northern Iran. Int J Pediatr 2021;2021:e5558287CrossRefGoogle ScholarPubMed
Sharma, AK, Chapagain, RH, Bista, KP, Bohara, R, Chand, B, Chaudhary, NK et al. Epidemiological and clinical profile of Covid-19 in Nepali children: an initial experience. J Nepal Paediatr Soc 2020;40:202–9CrossRefGoogle Scholar
Siddiqui, M, Gültekingil, A, Bakırcı, O, Uslu, N, Baskın, E. Comparison of clinical features and laboratory findings of coronavirus disease 2019 and influenza A and B infections in children: a single-center study. Clin Exp Pediatr 2021;64:364–9CrossRefGoogle Scholar
Somekh, I, Yakub Hanna, H, Heller, E, Bibi, H, Somekh, E. Age-dependent sensory impairment in COVID-19 infection and its correlation with ACE2 expression. Pediatr Infect Dis J 2020;39:e270–2CrossRefGoogle ScholarPubMed
Song, X, Delaney, M, Shah, RK, Campos, JM, Wessel, DL, DeBiasi, RL. Comparison of clinical features of COVID-19 vs seasonal influenza A and B in US children. JAMA Netw Open 2020;3:e2020495CrossRefGoogle Scholar
Sousa, BLA, Sampaio-Carneiro, M, de Carvalho, WB, Silva, CA, Ferraro, AA. Differences among severe cases of Sars-CoV-2, influenza, and other respiratory viral infections in pediatric patients: symptoms, outcomes and preexisting comorbidities. Clinics (Sao Paulo) 2020;75:e2273CrossRefGoogle ScholarPubMed
Soysal, A, Gönüllü, E, Arslan, H, Kibar, BS, Pop, S, Yurttaş, GN et al. Comparison of clinical and laboratory features and treatment options of 237 symptomatic and asymptomatic children infected with SARS-CoV-2 in the early phase of the COVID-19 pandemic in Turkey. Jpn J Infect Dis 2020;74:273–9CrossRefGoogle ScholarPubMed
Sun, D, Zhu, F, Wang, C, Wu, J, Liu, J, Chen, X et al. Children infected with SARS-CoV-2 from family clusters. Front Pediatr 2020;8:386CrossRefGoogle ScholarPubMed
Szépfalusi, Z, Schmidthaler, K, Sieber, J, Kopanja, S, Götzinger, F, Schoof, A et al. Lessons from low seroprevalence of SARS-CoV-2 antibodies in schoolchildren: a cross-sectional study. Pediatr Allergy Immunol 2021;32:762–70CrossRefGoogle ScholarPubMed
Temel, H, Gündüz, M, Arslan, H, Ünal, F, Atağ, E, Cömert, M et al. Evaluation of the clinical features of 81 patients with COVID-19: an unpredictable disease in children. J Pediatr Infect Dis 2021;16:4752Google Scholar
Tripathi, S, Gist, KM, Bjornstad, EC, Kashyap, R, Boman, K, Chiotos, K et al. Coronavirus disease 2019-associated PICU admissions: a report from the Society of Critical Care Medicine Discovery Network Viral Infection and Respiratory Illness Universal Study Registry. Pediatr Crit Care Med 2021;22:603–15CrossRefGoogle Scholar
Wu, Q, Xing, Y, Shi, L, Li, W, Gao, Y, Pan, S et al. Coinfection and other clinical characteristics of COVID-19 in children. Pediatrics 2020;146:e20200961CrossRefGoogle ScholarPubMed
Xia, W, Guo, Y, Tian, Z, Luo, Y, Hu, D, Shao, J et al. Clinical features and temporal changes of RT-PCR and chest CT in COVID-19 pediatric patients. Front Pediatr 2020;8:579512CrossRefGoogle ScholarPubMed
Xiong, X, Chua, GT, Chi, S, Kwan, MYW, Sang Wong, WH, Zhou, A et al. A comparison between Chinese children infected with coronavirus disease-2019 and with severe acute respiratory syndrome 2003. J Pediatr 2020;224:30–6CrossRefGoogle ScholarPubMed
Xu, H, Liu, E, Xie, J, Smyth, RL, Zhou, Q, Zhao, R et al. A follow-up study of children infected with SARS-CoV-2 from western China. Ann Transl Med 2020;8:623CrossRefGoogle ScholarPubMed
Yilmaz, K, Gozupirinççioğlu, A, Aktar, F, Akin, A, Karabel, M, Yolbas, I et al. Evaluation of the novel coronavirus disease in Turkish children: preliminary outcomes. Pediatr Pulmonol 2020;55:3587–94CrossRefGoogle ScholarPubMed
Zhamankulov, A, Rozenson, R, Morenko, M, Shnayder, K, Akhmetova, U, Tyo, A. COVID-19 and recurrent respiratory infections in children of Kazakhstan. Russ Open Med J 2021;10:e0104CrossRefGoogle Scholar
Zhang, C, Gu, J, Chen, Q, Deng, N, Li, J, Huang, L et al. Clinical and epidemiological characteristics of paediatric SARS-CoV-2 infections in China: a multicenter case series. PLoS Med 2020;17:e1003130CrossRefGoogle ScholarPubMed
Zhang, Y, Xie, RM, He, YL, Xing, LH, Dong, L, Zhang, JZ et al. Clinical and imaging features of pediatric COVID-19. Ital J Pediatr 2020;46:153CrossRefGoogle ScholarPubMed
Zhang, L, Huang, S. Clinical features of 33 cases in children infected with SARS-CoV-2 in Anhui Province, China -- a multi-center retrospective cohort study. Front Public Health 2020;8:255CrossRefGoogle Scholar
Zheng, G, Wang, B, Zhang, H, Xie, C, Zhang, Y, Wen, Z et al. Clinical characteristics of acute respiratory syndrome with SARS-CoV-2 infection in children in South China. Pediatr Pulmonol 2020;55:2419–26CrossRefGoogle ScholarPubMed
Cui, X, Zhao, Z, Zhang, T, Guo, W, Guo, W, Zheng, J et al. A systematic review and meta-analysis of children with coronavirus disease 2019 (COVID-19). J Med Virol 2021;93:1057–69CrossRefGoogle Scholar
Qiu, J, Yang, X, Liu, L, Wu, T, Cui, L, Mou, Y et al. Prevalence and prognosis of otorhinolaryngological symptoms in patients with COVID-19: a systematic review and meta-analysis. Eur Arch Otorhinolaryngol 2022;279:4960CrossRefGoogle ScholarPubMed
Bruno, C, Locatello, LG, Cilona, M, Fancello, G, Vultaggio, A, Maltagliati, L et al. Seasonal allergic rhinitis symptoms in relation to COVID-19. Allergy Rhinol (Providence) 2020;11:2152656720968804CrossRefGoogle ScholarPubMed
Nguyen, NN, Hoang, VT, Lagier, J-C, Raoult, D, Gautret, P. Long-term persistence of olfactory and gustatory disorders in COVID-19 patients. Clin Microbiol Infect 2021;27:931–2CrossRefGoogle ScholarPubMed
Moein, ST, Hashemian, SM, Tabarsi, P, Doty, RL. Prevalence and reversibility of smell dysfunction measured psychophysically in a cohort of COVID-19 patients. Int Forum Allergy Rhinol 2020;10:1127–35CrossRefGoogle Scholar
Yan, Q, Qiu, D, Liu, X, Guo, X, Hu, Y. Prevalence of smell or taste dysfunction among children with COVID-19 infection: a systematic review and meta-analysis. Front Pediatr 2021;9:686600CrossRefGoogle ScholarPubMed
Kilic, O, Kalcioglu, MT, Cag, Y, Tuysuz, O, Pektas, E, Caskurlu, H et al. Could sudden sensorineural hearing loss be the sole manifestation of COVID-19? An investigation into SARS-COV-2 in the etiology of sudden sensorineural hearing loss. Int J Infect Dis 2020;97:208–11CrossRefGoogle ScholarPubMed
Elibol, E. Otolaryngological symptoms in COVID-19. Eur Arch Otorhinolaryngol 2021;278:1233–6CrossRefGoogle ScholarPubMed
Bhatta, S, Sharma, S, Sharma, D, Maharjan, L, Bhattachan, S, Sah, MK et al. Study of hearing status in COVID-19 patients: a multicentered review. Indian J Otolaryngol Head Neck Surg 2021. Epub 2021 Jul 12Google ScholarPubMed
Al-Ani, RM, Rashid, RA. Prevalence of dysphonia due to COVID-19 at Salahaddin General Hospital, Tikrit City, Iraq. Am J Otolaryngol 2021;42:103157CrossRefGoogle ScholarPubMed
Azzam, AAA, Samy, A, Sefein, I, ElRouby, I. Vocal disorders in patients with COVID 19 in Egypt. Indian J Otolaryngol Head Neck Surg 2021. Epub 2021 May 28CrossRefGoogle ScholarPubMed
Oran, DP, Topol, EJ. Prevalence of asymptomatic SARS-CoV-2 infection: a narrative review. Ann Intern Med 2020;173:362–7CrossRefGoogle ScholarPubMed
Syangtan, G, Bista, S, Dawadi, P, Rayamajhee, B, Shrestha, LB, Tuladhar, R et al. Asymptomatic SARS-CoV-2 carriers: a systematic review and meta-analysis. Front Public Health 2020;8:587374CrossRefGoogle ScholarPubMed
Bi, Q, Wu, Y, Mei, S, Ye, C, Zou, X, Zhang, Z et al. Epidemiology and transmission of COVID-19 in 391 cases and 1286 of their close contacts in Shenzhen, China: a retrospective cohort study. Lancet Infect Dis 2020;20:911–19CrossRefGoogle ScholarPubMed
Bunyavanich, S, Do, A, Vicencio, A. Nasal gene expression of angiotensin-converting enzyme 2 in children and adults. JAMA 2020;323:2427–9CrossRefGoogle ScholarPubMed
Fialkowski, A, Gernez, Y, Arya, P, Weinacht, KG, Kinane, TB, Yonker, LM. Insight into the pediatric and adult dichotomy of COVID-19: age-related differences in the immune response to SARS-CoV-2 infection. Pediatr Pulmonol 2020;55:2556–64CrossRefGoogle ScholarPubMed
Supplementary material: File

Yadav et al. supplementary material

Yadav et al. supplementary material

Download Yadav et al. supplementary material(File)
File 130.5 KB