Lung Ultrasound in Children with COVID-19: Preliminary Findings: Ultrasound in Medicine and Biology

A.M. Musolino, M.C. Supino, D. Buonsenso, V. Ferro, P. Valentini, A. Magistrelli, M.H. Lombardi, L. Romani, P. D'Argenio, A. Campana, Roman Lung Ultrasound Study Team for Pediatric COVID-19 (ROMULUS COVID Team)

Research output: Contribution to journalArticlepeer-review

Abstract

Recent evidence indicates the usefulness of lung ultrasound (LUS) in detecting coronavirus disease 19 (COVID-19) pneumonia. However, no data are available on the use of LUS in children with COVID-19 pneumonia. In this report, we describe LUS features of 10 consecutively admitted children with COVID-19 in two tertiary-level pediatric hospitals in Rome. LUS revealed signs of lung involvement during COVID-19 infection. In particular, vertical artifacts (70%), pleural irregularities (60%), areas of white lung (10%) and subpleural consolidations (10%) were the main findings in patients with COVID-19. No cases of pleural effusions were found. According to our experience, the routine use of LUS in the evaluation of children with suspected or confirmed COVID-19, when performed by clinicians with documented experience in LUS, was useful in diagnosing and monitoring pediatric COVID-19 pneumonia, reducing unnecessary radiation/sedation in children and exposure of health care workers to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). © 2020
Original languageEnglish
Pages (from-to)2094-2098
Number of pages5
JournalUltrasound Med. Biol.
Volume46
Issue number8
DOIs
Publication statusPublished - 2020

Keywords

  • Children
  • Coronavirus disease 19 (COVID-19)
  • Lung ultrasound
  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
  • Diagnosis
  • Diseases
  • Pediatrics
  • Ultrasonics
  • Coronaviruses
  • Health care workers
  • Pleural effusion
  • Severe acute respiratory syndrome coronavirus
  • Tertiary levels
  • Biological organs
  • adolescent
  • anosmia
  • arthralgia
  • Article
  • artifact
  • child
  • clinical article
  • coronavirus disease 2019
  • coughing
  • diarrhea
  • echography
  • female
  • fever
  • headache
  • hospital admission
  • human
  • Italy
  • male
  • nose smear
  • nuclear magnetic resonance imaging
  • observational study
  • patient monitoring
  • pneumonia
  • priority journal
  • real time polymerase chain reaction
  • SARS-related coronavirus
  • sedation
  • thorax pain
  • thorax radiography
  • throat culture
  • Betacoronavirus
  • Coronavirus infection
  • diagnostic imaging
  • hospital
  • lung
  • occupational exposure
  • pandemic
  • preschool child
  • prevention and control
  • procedures
  • virus pneumonia
  • Adolescent
  • Child
  • Child, Preschool
  • Coronavirus Infections
  • Female
  • Hospitals, Pediatric
  • Humans
  • Lung
  • Male
  • Occupational Exposure
  • Pandemics
  • Pneumonia, Viral
  • Rome
  • Ultrasonography

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