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. 2020 Sep 15;91(Suppl 11):e2020003. doi: 10.23750/abm.v91i11-S.10298

Table 2.

Clinical manifestations of SARS-CoV-2 infection in the pediatric population

Clinical classification Clinical manifestations
Asymptomatic Absence of clinical signs and symptoms
Normal lung imaging
Positive SARS-CoV-2 nucleic acid test
Mild Mild clinical symptoms
Upper respiratory tract infections (feverm cough, sore throat)
Absence of pneumonia signs
Gastrointestinal symptoms (nausea, vomiting, abdominal pain and diarrhoea)
Moderate Fever and cough, dry and productive
Wheezing without hypoxia or shortness of breathe, dry and/or wet rales Chest imaging shows pneumonia
Some children can be asymptomatic but with positive chest imaging
Severe Children show at least one of the following symtpoms:
  1. Increased respiratory rate accoding to the age

  2. Blood oxygen saturation at rest <92%

  3. Symptoms of hypoxia: assisted breathing (groaning, wing flaps, sags), cyanosis, intermittent apnea

  4. Unconsciousness: lethargy, coma, convulsions

  5. Difficulty in feeding

Critical The disease progresses quickly and at least one of the following symptoms is present:
  1. Respiratory failure requiring mechainical ventilation

  2. Shock

  3. Combined with other organ failure, require intensive care unit