Introduction: By March 2020, COVID-19 was declared a global pandemic by the World Health Organization (WHO), and at the time of writing there are more than 600 million confirmed cases and about 6 million deaths worldwide from COVID19 infection however, among 4.1 million COVID 19 deaths reported by MPIDR coverage database only 0.4 % of these deaths were children. Objectives and aim of study: To Identify COVID 19 positive symptomatic cases within pediatric age group and studying variable clinical presentation and radiological findings and its impact on mortality. Patients and Methods: This study included 50 cases under age of 18 years old with COVID-19 positive PCR from Minia University Hospital and Minia Health Insurance Hospital – Minia – Egypt from the 1st of January 2022 to 30th May 2022. We studied the different clinical presentation, radiological findings and laboratory investigations among those children and assessing the impact on mortality so we divide studied cases into 2 groups, improved and died group. Results: Fever and upper respiratory tract symptoms are the most common clinical presentation while GIT symptoms are uncommon and associated with cases who have normal or very low suspicious in chest CT . 31 cases out of 50 (62%) improved while unfortunately 19 cases (38%) died. Conclusion: Children are equally affected by COVID-19 infection as adults but symptoms and signs ranging from mild to moderate cases and less complicated than adults however, severe cases in our study were very critical and this reflected on percentage of died cases in our study (38%).
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