Multi-organ Presentation of Children with COVID-19 Infection in the North of Iran: A Retrospective Study

Kiani, Masood; Mohammadpour-Mir, Ali; Sorkhi, Hadi; Esmaeili-dooki, Mohammadreza; Nikpour, Maryam; Babazadeh, Kazem; Tabatabaie, Mohamadreza; Mehrabani, Sanaz; Alijanpour Aghamaleki, Morteza; Hosseinpour, Sareh; Mahmoodi Nesheli, Hassan; Sadr Moharerpour, Sahar; Tamaddoni, Ahmad; Salehiomran, Mohammadreza; Payandeh, Paiam; Mohammadzadeh, Iraj; Mohammadi, Mohsen

doi:10.22038/ijp.2020.51187.4065

Multi-organ Presentation of Children with COVID-19 Infection in the North of Iran: A Retrospective Study

Authors

Masood Kiani ¹

Ali Mohammadpour-Mir ²

Hadi Sorkhi ³

Mohammadreza Esmaeili-dooki ³

Maryam Nikpour ⁴

Kazem Babazadeh ¹

Mohamadreza Tabatabaie ²

Sanaz Mehrabani ¹

Morteza Alijanpour Aghamaleki ⁵

Sareh Hosseinpour ¹

Hassan Mahmoodi Nesheli ⁵

Sahar Sadr Moharerpour ⁶

Ahmad Tamaddoni ³

Mohammadreza Salehiomran ⁵

Paiam Payandeh ¹

Iraj Mohammadzadeh ⁵

Mohsen Mohammadi ⁷

¹ Assistant professor, Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran.

² MD, Clinical Research Development Center, Amircola Children's Hospital, Babol University of Medical Sciences, Babol, I.R.Iran.

³ Professor, Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran.

⁴ PhD of Health Science, Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran.

⁵ Associate Professor, Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran.

⁶ Assistant Professor, Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran.

⁷ Assistant Professor of Pediatric Infectious Disease, Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran.

10.22038/ijp.2020.51187.4065

Abstract

Background: COVID-19 can cause various symptoms in children. The aim of the study was evaluation of multi-organ presentation of children with COVID-19 infection in Amirkola Children’s Hospital in Babol, Iran.
Materials and Methods: This study was conducted retrospectively and data were extracted from medical records. All children with suspected COVID-19 infection who were referred to Amirkola Children’s Hospital in Babol (north of Iran) from March 4, 2020 to May 30, 2020 were enrolled. Clinical features of the respiratory and digestive system and Multisystem Inflammatory Syndrome in Children (MIS-c) were assessed. In all children WBC, RBC, Hb, MCV, Lymphocyte, CRP, ESR, ALT, AST, PT, PTT and platelets were also evaluated. Data analysis was conducted with SPSS software version 16.0.
Results: Totally 37 children were recruited to the study. The most common clinical symptoms in children were fever (86.5%), weakness (75.7%) anorexia (73%)abdominal pain (48.6.9%), diarrhea (45.9%) nausea and vomiting (37.8%), cough (32.4%). About 60% and 8% of children had Hb and MCV less than normal levels respectively,So that 80% and 60% of children had abnormal elevations in CRP and ESR, respectively. Also, 32% and 35% of them had an increase in ALT and AST levels respectively and about 40% of them hadhypoalbuminemia. Additionally, 7 of 37 (18.9%) children had MIS-c. The result of the study demonstrated that 10/37 (32.4%) of children had pulmonary involvement.
Conclusion: In this study gastrointestinal symptoms were more common than respiratory symptoms in children with COVID-19 infection. Also, about one- fifth of children with COVID-19 had MIS-c. Attention to manifestations of organs other than respiratory system in children with COVID-19 infection is necessary.

Keywords

Children

COVID-19

Gastrointestinal symptoms

Respiratory symptoms