Many children with COVID-19 have no cough or fever

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According to the Centers for Disease Control and Prevention, the characteristic symptoms of cough, fever and shortness of breath associated with COVID-19 are less common in children than in adults.
Among pediatric patients under the age of 18 in the United States, 73% had at least one of the three symptoms, compared to 93% of adults aged 18 to 64, said Lucy A. McNamara, PhD, and the response COVID-19 of the CDC. based on a preliminary analysis of the 149,082 cases reported as of April 2.

To a small extent, fever, present in 58% of pediatric patients, was the most common sign or symptom of COVID-19, against a cough at 54% and difficulty breathing in 13%. In adults, a cough (81%) was seen more frequently, followed by fever (71%) and difficulty breathing (43%), researchers in the MMWR reported.
In children and adults, headaches and myalgia were more common than shortness of breath, as were sore throats in children, the team added.

“These results are largely consistent with a report on COVID-19 pediatric patients

The CDC analysis of pediatric patients was limited by their small sample size, with data on signs and symptoms available for only 11% (291) of the 2,572 children known to have COVID-19 as of April 2. The adult population included 10,944 individuals who represented 9.6% of the 113,985 American patients aged 18 to 65, the intervention team said.
“As the number of COVID-19 cases continues to increase in many parts of the United States, it will be important to adapt COVID-19 surveillance strategies to maintain the collection of information on critical cases without overloading the health services of the jurisdiction, ”they added. said.
SOURCE: McNamara LA et al. MMWR 2020 April 6; 69 (advance version): 1-5.

This story originally appeared on MDedge.com.

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