Clinical Characteristics of Coronavirus Disease (COVID-19) in Mexican Children and Adolescents

墨西哥儿童和青少年冠状病毒病 (COVID-19) 的临床特征

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作者:Alejandro Flores-Alanis, Zeus Saldaña-Ahuactzi, Israel Parra-Ortega, Pablo López-Ramírez, Marcela Salazar-García, Yolanda P Alemán-García, Armando Cruz-Rangel, Alba Moreno-Paredes, Adrián Diaz-Rojas, Carmen Maldonado-Bernal, Jessica Quevedo-Moran, Victor M Luna-Pineda

Background

We analyzed the demographic, clinical, and diagnostic data of children and adolescents in Mexico, from the first case of coronavirus disease (COVID-19) to 28 February 2022.

Conclusion

During the first 2 years of the COVID-19 pandemic in Mexico, children and adolescents had low incidence and mortality. They are a heterogeneous population, but many patients had comorbidities such as obesity, asthma, and immunosuppression; symptoms such as fever, cough, and headache; and low viral load and IgG antibodies.

Methods

Using the open databases of the Ministry of Health and a tertiary pediatric hospital, we obtained demographic and clinical data from the beginning of the COVID-19 pandemic until 28 February 2022. In addition, quantitative reverse-transcription polymerase chain reaction outputs were used to determine the viral load, and structural protein-based serology was performed to evaluate IgG antibody levels.

Results

Of the total 437,832 children and adolescents with COVID-19, 1187 died. Of these patients, 1349 were admitted to the Hospital Infantil de Mexico Federico Gómez, and 11 died. Obesity, asthma, and immunosuppression were the main comorbidities, and fever, cough, and headache were the main symptoms. In this population, many patients have a low viral load and IgG antibody levels.

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