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Research ArticleOriginal Article
Open Access

Clinical characteristics and outcomes of children with COVID-19 in Saudi Arabia

Abeer A. Alnajjar, Ahmed M. Dohain, Gaser A. Abdelmohsen, Turki S. Alahmadi, Zaher F. Zaher and Abobakr A. Abdelgalil
Saudi Medical Journal April 2021, 42 (4) 391-398; DOI: https://doi.org/10.15537/smj.2021.42.4.20210011
Abeer A. Alnajjar
From the Department of Pediatrics (Alnajjar, Dohain, Abdelmohsen, Alahmadi, Zaher, Abdelgalil), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; and from the Department of Pediatrics (Dohain, Abdelmohsen, Abdelgalil), Cairo University, Cairo, Egypt.
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Ahmed M. Dohain
From the Department of Pediatrics (Alnajjar, Dohain, Abdelmohsen, Alahmadi, Zaher, Abdelgalil), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; and from the Department of Pediatrics (Dohain, Abdelmohsen, Abdelgalil), Cairo University, Cairo, Egypt.
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Gaser A. Abdelmohsen
From the Department of Pediatrics (Alnajjar, Dohain, Abdelmohsen, Alahmadi, Zaher, Abdelgalil), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; and from the Department of Pediatrics (Dohain, Abdelmohsen, Abdelgalil), Cairo University, Cairo, Egypt.
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Turki S. Alahmadi
From the Department of Pediatrics (Alnajjar, Dohain, Abdelmohsen, Alahmadi, Zaher, Abdelgalil), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; and from the Department of Pediatrics (Dohain, Abdelmohsen, Abdelgalil), Cairo University, Cairo, Egypt.
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Zaher F. Zaher
From the Department of Pediatrics (Alnajjar, Dohain, Abdelmohsen, Alahmadi, Zaher, Abdelgalil), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; and from the Department of Pediatrics (Dohain, Abdelmohsen, Abdelgalil), Cairo University, Cairo, Egypt.
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Abobakr A. Abdelgalil
From the Department of Pediatrics (Alnajjar, Dohain, Abdelmohsen, Alahmadi, Zaher, Abdelgalil), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; and from the Department of Pediatrics (Dohain, Abdelmohsen, Abdelgalil), Cairo University, Cairo, Egypt.
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  • For correspondence: [email protected]
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    Figure 1

    - The frequency of symptoms reported in children with COVID-19.

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    Figure 2

    - The level of management of COVID-19 in different pediatric age groups. PICU: pediatric intensive care unit

Tables

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    Table 1

    - Demographic variables, exposures, and clinical characteristics of children with COVID-19 (N=62).

    Demographicsn (%)
    Age, years6 (0.2-13)
    Gender
    Male31(50)
    Female31 (50)
    Nationality
    Saudi37 (59.7)
    Yemeni9 (14.5)
    Indian5 (8.1)
    Others11 (17.7)
    Exposures
    History of contact with COVID-19 positive patient48 (77.4)
    COVID-19 positive family member41 (66.1)
    COVID-19 positive patient outside family7 (11.3)
    Unknown exposure14 (22.6)
    Parents are health care providers4 (6.5)
    Clinical manifestations
    History of fever50 (80.6)
    Documented fever in hospital17 (27.4)
    Fever category (°C)
    37.7-388 (12.90)
    >38-398 (12.90)
    >391 (1.61)
    Fever duration, days2 (1-9)
    Respiratory symptoms
    Cough30 (48.4)
    Runny nose17 (27.4)
    Sore throat11 (17.7)
    Shortness of breath8 (12.9)
    Anosmia1 (1.6)
    General non-specific symptoms
    Headache6 (9.7)
    Body aches3 (4.8)
    Myalgia5 (8.1)
    Gastrointestinal symptoms
    Diarrhea15 (24.2)
    Vomiting11 (17.7)
    Abdominal pain6 (9.7)
    Skin rash1 (1.6)
    Seizures3 (4.8)
    Associated comorbidities9 (14.5)
    Congenital heart disease3 (4.8)
    Bronchial asthma/adenoid/bronchiolitis obliterans3 (4.8)
    Malignancy (rhabdomyosarcoma)1 (1.6)
    Hydrocephalous (brain atrophy)2 (3.2)
    • Values are presented as numbers and percentages (%).

    • View popup
    Table 2

    - Laboratory results and imaging studies in COVID-19 among children.

    ParameterNumber of patientsPatients with abnormal resultsMeasured valuesReference range
    Laboratory data    
    Complete blood count22   
    Hemoglobin, gm/dl 411.7 (6.50-14)10.2-16
    WBCs, K/μL 47.65 (2.3-26)4.5-17.5
    Platelets, K/μL 4300 (104-520)150-450
    Neutrophils, K/μL 63.3 (0.5-21)1-8.5
    Lymphocytes, K/μL 162.6 (0.7-12.4)4-10.5
    CRP, mg/L2083 (3-268)0-3
    Liver enzymes20   
    AST, U/L 1139 (13-79)15-37
    ALT, U/L 030 (7-59)12-78
    Renal functions21   
    Urea, mmol/Z 33.8 (1.4-22)2.5-6.4
    Creatinine, μmol/L 132.5 (13-440)53-115
    Ferritin, ng/ml71246 (9-2264)30-400
    D-dimer971.1 (0.2-40)0-0.5
    LDH, U/L76344 (200-1284)100-240
    Cardiac enzymes2   
    Troponin-I, μg/L 21.29 (0.59-2)0.02-0.04
    Creatine kinase, IU/L 2393 (388-398)26-308
    Bacterial blood culture140Negative 
    Radiological findings    
    Chest X-ray, n (%) 20 (100)  
    Normal 9 (45)  
    Peripheral ground-glass opacities 3 (15)  
    Bilateral consolidative opacities 7 (35)  
    Pleural effusion 1 (5)  
    • WBC: white blood cell, CRP: C-reactive protein, AST: aspartate transaminase, ALT: alanine transaminase, LDH: lactate dehydrogenasel, VSD: ventricular septal defect

    • View popup
    Table 3

    - Clinical outcomes and therapies administered to children with COVID-19.

    ParameterNumber of patientsPatients with abnormal resultsMeasured valuesReference range
    Laboratory data
    Complete blood count22
    Hemoglobin, gm/dl411.7 (6.50-14)10.2-16
    WBCs, K/μL47.65 (2.3-26)4.5-17.5
    Platelets, K/μL4300 (104-520)150-450
    Neutrophils, K/μL63.3 (0.5-21)1-8.5
    Lymphocytes, K/μL162.6 (0.7-12.4)4-10.5
    CRP, mg/L2083 (3-268)0-3
    Liver enzymes20
    AST, U/L1139 (13-79)15-37
    ALT, U/L030 (7-59)12-78
    Renal functions21
    Urea, mmol/L33.8 (1.4-22)2.5-6.4
    Creatinine, μmol/L132.5 (13-440)53-115
    Ferritin, ng/ml71246 (9-2264)30-400
    D-dimer971.1 (0.2-40)0-0.5
    LDH, U/L76344 (200-1284)100-240
    Cardiac enzymes2
    Troponin-I, μg/L21.29 (0.59-2)0.02-0.04
    Creatine kinase, IU/L2393 (388-398)26-308
    Bacterial blood culture140Negative
    Radiological findings
    Chest X-ray, n (%)20 (100)
    Normal9 (45)
    Peripheral ground-glass opacities3 (15)
    Bilateral consolidative opacities7 (35)
    Pleural effusion1 (5)
    • WBC: white blood cell, CRP: C-reactive protein, AST: aspartate transaminase, ALT: alanine transaminase, LDH: lactate dehydrogenasel, VSD: ventricular septal defect

    • View popup
    Table 4

    - Summary of the main characteristics of children with COVID-19 included in large systematic reviews and meta-analysis.

    CharacteristicsPresent studyCui et al22Liu et al21Ding et al20Mantovani et al18Meena et al19Liguoro et al9
    Number of cases6258294300371285548577480
    Age (mean, years)6-7.045.56.96.47.6
    Male (%)505553.65850.35752.1
    History of contact (%)77.47281.586.4-9185
    Fever (%)80.65152.751.2474951.6
    Cough (%)48.44141.937374547.3
    Diarrhea (%)24.284.27.4499.7
    Severe/critical cases (%)8.11200442.7
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Saudi Medical Journal: 42 (4)
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Clinical characteristics and outcomes of children with COVID-19 in Saudi Arabia
Abeer A. Alnajjar, Ahmed M. Dohain, Gaser A. Abdelmohsen, Turki S. Alahmadi, Zaher F. Zaher, Abobakr A. Abdelgalil
Saudi Medical Journal Apr 2021, 42 (4) 391-398; DOI: 10.15537/smj.2021.42.4.20210011

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Clinical characteristics and outcomes of children with COVID-19 in Saudi Arabia
Abeer A. Alnajjar, Ahmed M. Dohain, Gaser A. Abdelmohsen, Turki S. Alahmadi, Zaher F. Zaher, Abobakr A. Abdelgalil
Saudi Medical Journal Apr 2021, 42 (4) 391-398; DOI: 10.15537/smj.2021.42.4.20210011
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Keywords

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