COVID-19 clinical manifestations in children and adolescents admitted to intensive care in the city of São Carlos: a case series

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Ana Luiza Carvalho Sartoreli
Carlos Henrique Araújo de Carvalho
Esther Angelica Luiz Ferreira
Claudia Maria Valete-Rosalino
Cristina Ortiz Sobrinho Valete


Introduction: Children with COVID-19 may be asymptomatic or present a heterogeneous clinical presentation. The present case series aimed to report clinical manifestations of COVID-19 in children and adolescents admitted to pediatric intensive care units (PICU) in the city of São Carlos, Brazil, during 2020 and 2021. Reports: The subjects were six children aged 3 months to 13 years, with COVID-19. The data were collected from electronic charts. All cases were domestic contact with a COVID-19 case. Two cases had multisystem inflammatory syndrome (MIS-C) and one had jaundice and ascites. One case had a seizure. One case required invasive ventilation and two cases presented gastrointestinal symptoms. There were no deaths in the cases. The length of PICU stays varied from one to 16 days. Conclusion: In the six cases reported, COVID-19 clinical manifestations in children and adolescents who required intensive care in São Carlos revealed a heterogeneous presentation and no lethality. It is worth emphasizing that a history of contact with a symptomatic respiratory person should guide the suspicion of COVID-19 in children and indicate a proper follow-up, as COVID-19 may be severe in this population.


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Sartoreli, A. L. C., Carvalho, C. H. A. de, Ferreira, E. A. L., Valete-Rosalino, C. M., & Valete, C. O. S. (2023). COVID-19 clinical manifestations in children and adolescents admitted to intensive care in the city of São Carlos: a case series. ABCS Health Sciences, 48, e023405.


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