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Clinical and laboratory profile of children with COVID-19 admitted at a tertiary care hospital in Karnataka, Southern India

Authors:

K. S. Sahana ,

Yenepoya Medical College, IN
About K. S.

Yenepoya University, Mangalore, Karnataka, India

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Anitha S. Prabhu,

Yenepoya Medical College, IN
About Anitha
Yenepoya University, Mangalore, Karnataka, India
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Prakash R. M. Saldanha,

Yenepoya Medical College, IN
About Prakash
Yenepoya University, Mangalore, Karnataka, India
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Shyam M. K. Sudhir,

Yenepoya Medical College, IN
About Shyam
Yenepoya University, Mangalore, Karnataka, India
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Balakrishna Gurmitkal

Yenepoya University, Mangalore, Karnataka, IN
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Abstract

Objectives: To assess the clinical characteristics, laboratory parameters and outcomes in paediatric patients with COVID-19.


Method: Case records of all paediatric patients admitted with COVID-19 were included in the study. Data regarding mode of presentation, presence of comorbid conditions, severity of COVID-19 disease, laboratory investigations and management were noted.


Results: A total of 32 children was admitted with COVID-19 infection in our institute. COVID-19 infection was mild in 16 (50%) patients, moderate in 6 (18.8%) and severe in 10 (31.3%). Ages of the children ranged from 6 months to 16 years with a mean age of 10.75 years. Of them 17 (53%) were boys and 15 (47%) were girls. Pre-existing comorbidities were present in 8 (25%) children. Respiratory symptoms were the commonest presenting complaints, being observed in 18 (59%) cases. Atypical presentation of COVID-19 (other than respiratory) was seen in 31% of cases. Presence of undernutrition and elevated C-reactive protein (CRP) were associated with severe Covid-19 illness (p<0.05). Eleven (34%) cases required intensive care and mechanical ventilation was required in 2 (6.3%) cases. Out of the 32 cases only 1 patient expired giving a case fatality rate of 3.1%.


Conclusions: Atypical presentation of COVID-19 with varied manifestations involving systems other than respiratory was observed in children as a separate entity from hyper-inflammatory syndrome. Presence of undernutrition and elevated CRP was associated with severe illness.


Sri Lanka Journal of Child Health, 2021; 50(3): 503-509

How to Cite: Sahana, K.S., Prabhu, A.S., Saldanha, P.R.M., Sudhir, S.M.K. and Gurmitkal, B., 2021. Clinical and laboratory profile of children with COVID-19 admitted at a tertiary care hospital in Karnataka, Southern India. Sri Lanka Journal of Child Health, 50(3), pp.503–509. DOI: http://doi.org/10.4038/sljch.v50i3.9733
Published on 05 Sep 2021.
Peer Reviewed

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