TABLE 1.
n | % | |
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Median age (range) (years) | 6 (0.3‐17.8) | |
Sex Male Female |
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Type of cancer (total number of cancer patients with cancer) Leukemia a Lymphomas and reticuloendotehelial tumors (HL, NHL, LCH, HLH) b Brain tumors c Neuroblastoma Bone tumors d Soft tissue sarcomas e Other solid tumors f |
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Disease status During primary treatment Relapse/refractory disease Stem cell transplantation At diagnosis End of treatment |
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Diagnosis PCR, clinic and radiologic positivity PCR positivity only (contact with positive person) PCR positivity at screening before surgery, radiotherapy, or SCT PCR negative, clinical and radiological positivity |
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Definite case Probable case |
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Contact history | 24 | 47 |
Most frequent symptoms and findings Asymptomatic Fever Cough Other respiratory system findings (tachypnea, dyspnea, hypoxemia) |
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Organs and systems involvement Respiratory system (upper respiratory tract infection + pneumonia) Gastrointestinal system g Central nervous system Musculoskeletal system Skin |
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Radiological findings Normal Bilateral diffuse or patchy ground glass opacity Diffuse or patchy pneumonic infiltration or consolidation Pneumonic infiltration and ground glass opacity Pleural effusion ARDS |
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Laboratory findings Neutropenia Lymphopenia Anemia Thrombocytopenia CRP (mg/dL) median (range) Increased CRP (number of patients with increased CRP/no. tested) D‐dimer median (range) Increased D‐dimer(number of patients with increased D‐dimer/no. tested) |
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Severity of disease Asymptomatic/mild Moderate Severe Critical |
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Number hospitalized h | 38 | 75 |
Length of hospitalization (median, range) (day) | 11 (2‐45) | (2‐45) |
Necessity of ICU | 9 | 18 |
Necessity of intubation | 3 | 5.9 |
Treatment No treatment Azitromycine Hydroxychloroquine Hydroxychloroquine + azitromycine Azitromycine + antivirals i Hydroxychloroquine + azitromycine + antivirals i Convalescent plasma (in addition to other medication) Mesenchymal stem cell + tocizulumab (in addition to other medication) |
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Interruption/delay of chemotherapy | 32 | 63 |
Treatment delay (median, range) (days) | 15 (3‐45) | |
Length of PCR positivity (median, range) (days) | 7 (2‐17) | |
Outcome of disease Recovery Death |
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Abbreviations: ALL, acute lymphoblastic leukemia; AML, acute myeloid leukemia; ARDS, acute respiratory distress syndrome; BMT, bone marrow transplantation; GIS, gastrointestinal system; HL, Hodgkin lymphoma; HLH, hemophagocytic lymphohistiocytosis; ICU, intensive care unit; LCH, Langerhans cell hystiocytosis; MDS, myelodysplastic syndrome; NHL, non‐Hodgkin lymphoma.
ALL, n = 18; AML, n = 7; MDS, n = 1.
HL, n = 2; NHL, n = 1; HLH, n = 1; LCH, n = 1.
Medulloblastoma, n = 4; atypical teratoid rhabdoid tumor, n = 1.
Ewing Sarcoma, n = 2; osteosarcoma, n = 1.
Rhabdomyosarcoma, n = 2; desmoid fibromatosis, n = 1.
Germ cell tumors, n = 2; hepatoblastoma, n = 1; Wilms tumor, n = 1; metastatic carcinoma, n = 1.
Presented with diarrhea, colitis, and gastrointestinal bleeding.
Six were already hospitalized for other reasons (such as diagnostic workup and surgery) and they received COVID‐19 diagnosis during this time.
Antivirals (favipiravir, lopinavir).