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A case series of children and young people admitted to a tertiary care hospital in Germany with COVID-19

Authors: Jonathan Remppis; Tina Ganzenmueller; Malte Kohns Vasconcelos; Oliver Heinzel; Rupert Handgretinger; Hanna Renk;

A case series of children and young people admitted to a tertiary care hospital in Germany with COVID-19

Abstract

Abstract Background While our knowledge about COVID-19 in adults has rapidly increased, data on the course of disease and outcome in children with different comorbidities is still limited. Methods Prospective, observational study at a tertiary care children’s hospital in southern Germany. Clinical and virology data from all paediatric patients admitted with SARS-CoV-2 infection at our hospital were prospectively assessed. Results Between March and November 2020, 14 patients were admitted with COVID-19. One patient was admitted a second time with COVID-19 6 months after initial disease. Among seven patients with severe underlying comorbidities, three developed multisystem inflammatory syndrome (MIS-C), two were admitted to the paediatric intensive care unit. One patient needed invasive ventilation. Another patient died shortly after discharge of COVID-19-related complications. Conclusions While COVID-19 generally causes mild disease in children, severe respiratory illness and MIS-C occur, in some cases with fatal outcome. Children with underlying diseases might be at special risk for severe disease.

Keywords

Male, Adolescent, Infectious and parasitic diseases, RC109-216, Comorbidity, Intensive Care Units, Pediatric, Tertiary Care Centers, COVID-19 ; Systemic Inflammatory Response Syndrome/diagnosis [MeSH] ; Hospitalization [MeSH] ; Tertiary Care Centers [MeSH] ; Inpatients ; Intensive Care Units, Pediatric [MeSH] ; SARS-CoV-2/isolation ; Infant [MeSH] ; Male [MeSH] ; Comorbidity [MeSH] ; Child [MeSH] ; Research Article ; COVID-19/diagnosis [MeSH] ; Adolescent [MeSH] ; Female [MeSH] ; COVID-19/virology [MeSH] ; Humans [MeSH] ; Prospective Studies [MeSH] ; Viral diseases ; Children ; Germany [MeSH] ; SARS CoV-2 infection ; Comorbidity ; Child, Preschool [MeSH], Germany, Humans, Prospective Studies, Child, Children, Inpatients, SARS-CoV-2, COVID-19, Infant, Systemic Inflammatory Response Syndrome, Hospitalization, Child, Preschool, Female, SARS CoV-2 infection, Research Article

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    selected citations
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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    15
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
15
Top 10%
Top 10%
Top 10%
Green
gold